Loading...
HomeMy WebLinkAboutPermit Electrical 1992-2-19 225 FIFTH STREET ~,.~ 'SPRINGFIELD, OREGON 97477 ~ INSPECTION REQUEST: 726-3769 ..6'" OFFICE: 726-3759 .~~~~ . . ~vr~ 1. ~N O~~~~A~~. , - .~ ~ \ (\ J.Q.B PE!\CRIPTI~' (\ ,Q,\IQl'X...\...()V \"J.U\.\\ _ Permits are1n\n-transferable d eXPire' if work is ~ started within 180 days .of issuance or if work is suspended for 180 days. . 2. CONTRACTOR INSTALLATION ONLY Electr'ical Contractor 7?c~.N C~. AddreSSf~~ ~~))OOt- City Yl Wn , -Phone 4fol Jiq,1 Supervis~r ~icense Number '-~ ~ 63' \l). \ ,qQ- Constr Contr. Number ~1 \f). \ ,q'Z/ Expiration Date Expiration Date Signature of Su~ervising Electrician ~ 'i .iL~ O:?/s Name fD.~, ~"Q ~f' .- Address \.~\Jl C' n<\f\'\...O \NJ\. ? Cit&\<Yl~O ~~f!'~DJ~ OVNER INSTALLATION . U .\.. The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: ~~~;~-----~If): q~-~-.---~-~--- RECEIPT I: '~ I. -'. _~~,-h RECEIVED BY~ ^CA-J . ' S'-IIINGt=IELO Job Number q \ 1\~4- TE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service .Included: Items Sum Cost. .1000. sq. ft. or less Each additional 500 sq. 'ft or portion thereof Each Manuf'd Home or .,.Modular Dwelling Service or Feeder . $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200'amps or less Lt 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 11)( ). $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 New, Alteration or Extension Per Panel One Circuit $ 35,00 Each Add it ional Circuit or with Service ~l/~ or Feeder Permi t .Ir-:;F. $ 2: OOalU E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20,00 Limited EnergylComm $ 36.00 5. SUBTOTAL OF ABOVE .....P)J ().CCJ 5% State Surcharge r)1""i~ TOTAL ""'~~~