HomeMy WebLinkAboutPermit Electrical 1992-9-1
,;
~..,
225 FIFTH STREET The fOl/ow;ng p . ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 97477 ,Zoning.anddo;o!ecta..ubmittedh nf\\ "\1
INSPEcrION REQUEST: 726-3769 approve/. .notreqUlrespecir:i:j~<t''tiumber ~I 01 rJ...
OFFICE: 726-3759 Zoning! n P' )
, Del"_ q.I.~MP.LETE FEE SCHEDULE BELOV I
1. LOCATION OF INSTALLATION. . -
~ 20 J:;IJle VJ~'iZ~lifJr~A~'W Residential-Single or
, ~~~.ltl-F.ami1Y. per d'Welling uni t.
LEG~E~PJfqN-, nOI /"y\ Service Included:
\1 0 ~ f-t~ Cnc JI ) Items Cost Sum
JOB DESCRIPTION' . / 1000 sq. ft. or less $ 85.00
A/Ev ~~~I/;(.~. eleer i/ElJr Each additional 500
, sq. ft or portion
Permits are non-transferable andrexpire thereof $ 15.00
if 'Work is not started 'Within 1BO days Each Manuf'd Home or
of issuance or if 'Work is suspended for Modular D'Welling
180 days. Service or Feeder $ 40.00
2. . CONTRAcrOR. INSTALLATION ONLY.
Electrical_~OEtr.~~tor !-./-I- Mdt'/tS
Address 483
Ci ty 9"rLJ .
Sllell~'1' ~7l'-
Phone 74--7-ogll
Supervisor License Number ?:Ji:>O(P S
Expiration Date 10-1 -9:L
'Constr Contr. Number r)\h~?J
Expiration Date
lo.R.q~
,.
Signature of Supervising Electrician
g~ ,Q~~lZP__
O'Wners Namd,(}11)v'RJ11JL. S~
Address ,t:) <?SD1 n (..; /(fflfJJ1;
Ci ty \/(] J\rn\ )UJlIf-.- Phone
OVNER INSTALLATION
The installation is being made on
property I o'Wn 'Which is not intended
for sale, lease or rent.
'Owers Signature:
~~~;:---~~~~~-~~-------------
RECEIPT It: : 6fp Ar/
RECEIVED BY: ~_ ~
----I
B~- Services or Feeders
Installation, Alterations or
Relocation:
. -- -.. . _.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 ~c.
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or 'With Service
I o~
or Feeder Permit ~ $ 2.00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00'
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. ,L'/ ~
SUBTOTAL OF ABOVE J'"
5% S ta te Surcharge /J. 110
TOTAL ,,- r,. R" 0