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HomeMy WebLinkAboutPermit Electrical 1992-4-2 225 FIPTB STREET Toe. !qllqwi"9 ~'oJect 8S submitted hao.lhelollOlJtllECTRICAL PERHIT APPLICATION SPRINGFIELD OREGON 9t477't' ~ncl OQe~40! squire .q~a~UGo. q CM1L.. .. . IHSPEcrION REQUEST: 726-137' 9 I r; , C/ City JobNumber' ~. . . . OFFICE: 726-3759 OIl)J'f. 1/ . . . . Data . /,/ L.1 (~ 3. COMPLETE FEE SCHEDULE BELOV 1. ~CA.xxPN ~~ ~STf\~ru!&""'~ali:I..'e'1)lJ\ ~')\ _ \(, \ T\~ . n. ;;~. ,,~.,iJ, tial-Single or " Multi-Family per dwelling unit. Service Included: LEGAL DESCRIPTION ij? ?J"Ph--.v- ~'/~~:&S;'N'--=-..)' . .. ,-.!"OB DJliCRIPTIM. ,/1 1'\ /"l . ~ ,..........,~ r'O f'i( l 0 J~ Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 dllys. 1..0t7~ . ~sq;ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd lIome or Modular Dwelling Service or Feeder Items Cost Sum ......-- $ 85.00 .,!55: 0-0 ~ $. - c:o>b 15.00. ~. $ 35.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch Circuits ~ n~ included). Installation, Alterations Electrical Contracto /I(~ ~ or Relocation: AddresslCf1()?- \)\1 -.: r 1J..C(2L1<{] 100 amps or less $ 35.00 . fl r- - 'OA, '7<.';-1') 101 amps to 400 amps $ 60.00 CitYl.".,lj([)l 'P c....Phone....::r.::::t?---XO I~ 401 amps to 600 amps $ 90.00 . /)n()D-:<::' 601 amps to 1000 amps $130.00 Supervisor License Number r){ I '()~ . Over 1000 amps/volts $300.00 .10 . \ .q A / - Reconnect Only . $ 35.00 . Expiration Date . A .Constr Co~tr. Number I.~ <?6 5(0 c!J,~.q3 .Expiration Date The installation is being. made on property I own which is not. intended . for sale, lease or rent; Owners Signature:. DATE: " RECEIPT I: RECEIVED BY: ~~'t-:-a 't-- ..4 ---- ~~,-1\y 1- C. Temporary Services or Feeders Installation, Alteratiop or Relocation :5.#"#~E7.) ~ B/?v4&'u..........-=.. 200 amps or iess $ 35.00 201 amps to 400 amps $ 40.00 Over 401 to 600 amps" $ 80.00 Over 600 amps or 1000 volts see liB" above D. Branch Circuits Sign~"of Supervising. Electrician .i-AI~~. \.\aQ ~'-~ .. Owners Name'-4\.,~, i\ : . t\ A<idress~~ .\'{\ ~ tr~\ l \ )'\ . CitY~Pho~e 48S-3\\lo . ~ .. OVNER INSTALLATION . New, Alteration oT'Extension Per Panel One Circuit . Two. to ten Circui ts ." Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E~ Miscellaneous (Service/feeder not included). -Each -installation Pump or irrigation Sign/Outline Lighting . Signal Circuit or limited energy panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 $ 36.00 $ 36.00 A c!? c:s-~ ~4'S'O r~h._~O