HomeMy WebLinkAboutPermit Electrical 1992-12-29
. b itled he,'th6 following ,."......
The,1 ing pr~j~~;~: s~ir:specifiC land use .~..w
225 FIITH STREET ~o~;;,~~~.nd doe q ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 97477 p . h~ n" /.' 0::2//
INSPECTION REQUEST: 726-3769 Zonmg,,? en Ci ty Job Number ~k:j U
OFFICE: 726-3759 Date I?-){') - '-<"
1. ~ATJON. Ofl }NSTALLATtb'Norized Signature -)~3.
l:') \LT ~i)\( J. 1li11""J lJ\ . A.
\ILE~E~eRJ,QN lO\oC-xJ
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Permits are non-transferable and exp~re
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
:~~~::-:~=-~-TJ;[~;L~;1P----
RECEIVED ~un.-..J ' ' - 4',
COMPLETF. pp~ SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Items Cost Sum
1000 sq.ft. or less I $ 85.00 as
Each additional 500
sq. ft or portion ~ ,~()
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
$
2.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
, ~~'I. '(J' n ~stallation, Alterations or
Electrical Contract~ \ \\.:/U1.l!l71 0 t'\ \t lc......-1\elocation:
Address l Dr! ~ \ \ \ 200 amps or less
Ci ty ~ Qi~x\J\~ ~ Q~hone ~4b -4tAB ~gi ::~~ ~~ :gg ::~~
. 6lS2rJ 601 amps to 1000 amps
Supervisor License Number ~~I(f1~ Over 1000 amps/volts
\f"'.. I ,q:==: Reconnec t Only
Expiration Date \) \ \. ')
Constr Contr. Number lDSCDS
~.l3.q~
Signature of Supervising Electrician
IlL/ d~~1-.
~. c:. D Branch Circuits
o~ners Name, ",0 5Ul ~ YN\~ . .
. Tl New Alteration or Extension Per Panel
Address \ C)~'t)C\.~ ,\\:..1 Q. '\\(\ U'0 '
\"" - 801O ~ One Ci rcui t $ 35.00
City! l\\('t'i)\WV' Phone <fQ..Q\rr-Q7/aS Each Additional
I~~ Circuit or with Service
OVNER INSTALLATION or Feeder Permit
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. SUBTOTAL OF ABOVE \ \'7\~O
5% State Surcharge ,=).'\~
TOTAL -L:::ln./~