HomeMy WebLinkAboutPermit Electrical 1992-1-3
.o\\<tlt,r.1
225 FIITH STREET _.<,:;;.s;)
SPRINGFIELD,"OREGON '97477, "".;~'O-,~;;:,c'/
,.,,~. ,"",;J'
INSPECTION REQUEST: 726-3769,_'n:"'I"C-.~;::'.:"~:;
OFFICE: 726"':3759, '^~:;;;~::">';~""Rd
'\0"" ,"," ~ .'
c ",c, ~,;';..'). ~ 3
1. ' LOCATION OF INS~r:;JI;iiON_<:I 0l'i, \-\ .
<:;.2 9/ r<>-rs-tL~." -.;.Q\\\';;{:, V) ~J-~
, ' \ -:;:..-Y .~\" -
, LEGAL DESCRIPTION }0r~0~oS\'d{lf>.~.,
fIV/o~.'((' ;.L~~ {-.a-G.P1J
r-
JOB DESCRIPTION
Permit~ are non-transferable and expire
if work is not started within 180 days'
of issuance or if work is suspended for
180 days. '
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor,d?,k-.",-,:, eu~/{.~~v.i,u,-
Ad(\ress ~,6..)", /(/
City WcJf.....<J;((..,
Phone "7<1(... <fa <(I
Supervisor License Number '53'7C S
Expiration Date /Q-/.<;'2.--
Constr Contr. Number~ {;50.::,5"
Expiration Date
3-/3-9"3
Signature of Supervising Electrician
~(J 6/~_~~r!.. ,
Owners Name &c. ;!;''5>''-_
Address 5;::;>5'/ hr'5it J~
c4 7;"~r
Ci ty Jp,., :....,[.''''r.o Phone '7v7/J "<<'7_
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~~wners Signature:
~A~;~------r--,~--~~-~~-------~~~--~
RECEIPT II:L.~! -, :jJ.l~(o{{ /) {~\
RECEIVED nY:~ll_ . / .
Ci ty Job Number
FEE 'SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or ,less
Each'additional 500
sq. 'ft ,or portion
thereof
Each Manuf'd Home or
Modular ,Dwelling
Service or 'Feeder
B.
Services or Feeders
Installation, Alterations
Relocation:
J.
unit.
Cost Sum
$ 85.00
$ 15.00
$ 40.00
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
or,
$ 50.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see fiB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Liniited Energy/Comm
One Ci.rcui t
Each Additional
'Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4D~?
C:/.. ,u~
4 bI ,uU