HomeMy WebLinkAboutPermit Electrical 1992-10-5
1""......
~ he /ollowing ,
laning, and i,;o.'oct as submitted h
225 FIFTH STREET epprO\'al, O"S not requiro s ifi.;'ia~~ ~~~Owlng
SPRINGFIELD, OREGON 97~7.; n
INSPECTION REOUES'Y 726-!1{ c:::::
OFFICE: 726-3759 .,e---':\-bL.:..._..J'q-z...;
1. ~;~OP~b~ ::
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JOB DESCRIPTION A '+-::
" f) 0 21\1 Y. 0 ,c:'~-- '-\- (\ I \\ ~ i Ll.JU)
Permits 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 Contract~~
Address !fJ{A \\\("x))\.c:f..... -
Ci ty D.n~ Phone ~5'" oq'L2-
~~f)nS
\(). \ . C\S
Supervisor ~icense Number
Expiration Date
Constr Contr. Number ~...q\f)
Expiration Date
\~. \D.q~
The 'ins talla t ion is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------------ni~----~--------------
DATE: V .S.q:j ,...,
RECEIPT II: \)1 . "'I n .,...PI S
RECEIVED ny<, I) V ) C\ )
..'
City Job Number
COMPLETE FEE SCHEDULE BELOV
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 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
C.
q!) \~Q~
.....\ - -
unit.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 5.D
$ 60.00
$100.00
$130,00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Signa~~~upe~~trician
(J ~ ~ ~~BranCh Circuits
::::::4 \ \ Q:=( ~ '- \n (\~ecA~ :::. c:::::: Ii" ,< '<10" '00 :::. ::'"
City :\!\ri__Phone "14H(}A446 Each Additional
. . Circuit or with Service
OVNER NSTALLATION or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$55.00
$ 80.00
volts see "B" above
$
2.00 B
no t i neluded)
$ 40.00
$ 40.00
$ 20,00
$ 36.00
5B.~O
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