Loading...
HomeMy WebLinkAboutPermit Electrical 1992-12-17 (f-'tt . .~, "U!U~}ECTItICAL PEItHLT AP~LICATION n v Cl'tYJdjob Number q ~ \ l 0 ~ I " J lOU seop pUB 'I3U!UOZ q,(lS sa l?stOJd 6UlMOllOt aLIi . . J. COMPLETE FEE SCnEDULE DELOV ~ A. Nev Residential-Single or ~lti-Family per dvelling unit: Se ice Included: , .()O Items Cos t' Sum //7.J\);.,"l 0 sq. ft. or less $ 85.00 :J ach additional 500 sq. ft Or ponion thereof Each Hanu f' d 1I0me or Modular Dvclling Service or Fcedcr / " zoning, sr. approva\. TI \2- 225 FIFTII STREET Zoning~l.. ~ SPRINGFIELD, OIlEGON 97/,77 t~"d- '1l-4 0- INSPECTION REQUEST:Dffi~7 . OFFICE: 726-3759 AUlhorized Signalll 6u!MOII 1.' LOCATION OF INST~TION . . II l/~J?' ,v/;7 5Prl7tib4 I () flG~ DESCRIlTIo 0 ((j) . ~ ~34 .~ , , J-, Jon DESCRIPTION ' I , ...' )jl V 1 ') -4. :<., 0A. J\ ('.A I , TI'\ :'.I'lllr~t..~FlI~l.U Permits are non-transferable and expire if vork is not started vi thin 180 days of issuancc Or if vork is suspcnded for 180 days'. 2" COl:lTRACTOIt INSTALLATION ONLY Inectrical Contractor /l-,z;: aC'/;'L Address ~ /"'70 c?L:lnu..h,k P, CI ty ~~ t!Z Phone '1t:(-:;... 771 Supervisor Licensc Number <.57:l S Expiration Datc /,-,-(-'7S' \ I . Constr Contr. Numbcr t:.J,{,5. '7 Expiration Datc /...:J-/y-7'.z, Signature of Supcrvis' ~..-:<..,.""/: . . Ovners Name I~- (, 'nA ~A [)".- Address lief. f )/(/0 S--;' . ./ Ci ty ~;{I r:Jv Phone 7~-~::A OVNER INSTALLATION The installation is being made on propcrty I ovn vhich is not intended for sale, lcase or rent. Ovners Signature: DATE:: 1'L./11 / q '-- RECEIPT n: co,o<:>z. !IECI-:TVEIl BY: ~,~, S 15.00 $ 1,0.00 D. Scrviccs or Fccders ! . Installation, Altcrations 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 $ 50.00 500/ $ 60,00 $100.00 $130.00 $300.00 $ 1,0.00 C. Tcmporary Scrvices Or Fecders Installation, Alteration or Relocation 200 amps Or lcss 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 volts sec "D" abovc Branch Circui ts. Ncv, Altcration or Extcnsion Pcr Pancl (lne Cl.rcul t Each Additional Circuit or vith Service or Fecder Permi t'3 $ 35.00 $ 2.00 ~oO E. Miscellaneous (Servicc/feeder not included) -Each Installation Pump or irrigation' $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $20.00 Limited Energy/Com~ $ 36.00 5. SUDTOTAL OF ADOVE 5% State Surcharge TOTAl. 6G:> .em ;2,80 C)f>,?,?)