HomeMy WebLinkAboutPermit Electrical 1992-12-28
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. ollowing project as submittro hE:'" lh" ......,'k..\v1n ~'f
zonrng, and does not reql!ire npe~ifh:, /r.r " . . I
225 FIITH STREET approval. 'ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 z . . I JIl!)" (] on
INSPECTION REQUEST: 726-37691"...::n,n9::t ')J" ' I...L Ci ty Job Number -/ A 1/ ?If'\, r-/..-./
OFFICE: 726-3759 Oata .,-,\ ''1'a, . *
Authorized Signature <;<:;3 . COMPLETE FEE SCHEDULE BELOII
1. LOCATION V~~TA:LATI9N
_J p.p.,0 (_7f..LLliLt'1 J A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESRJl.IPTION :;>r" I Servi ce Included:
V)(X~fY) IU 0. )'1{) Items Cost Sum
Permits are non-t
if work is not st
of. issuance or if
180 days.
"f.~:~7 ::::.
ted hin 180 days
work is suspended for
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t: of fll!LGc 1:
Address c!} '7!)'~ ~ J?JViCU~ ~"~ P&
City ~ Yf.J1'L Phone~Q..~Ktl~
SuperVlsor Llcense Number ~t?q S
I()- \,q~
Constr Contr. Number .~ ~L\-~:)
l
i).?['),9:::
Expiration Date
Expiration Date
Signature of Supervising Electricjan
.~/1.M/ &I (J;:'~ ~
Owners ~e ~~ Vt~~_~~~ K~~'
Address \ ~<(::t\ * i 1 f\ () . Sf-
Ci ty9Jt1 ~ Phone .
OlINER INSTALLATION
The "installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~;;~=---~------~----YQrn~C1~ 5.
RECEIPT 11: \. -D I'" f\ rw...\.p
RECEIVED BY: (-jW _ "'- ) \
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
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00 0~
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~ $
2.00 <3!l
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge'
0u6TOTAL ;. ,.... "
~\.00P
\O~
$ 40.00
$ 40.00
$ 20.00
$ 36.00
,'1) ~O
. E:L =.,
.2J!:3'. H,-.::.
'3 '1 .00
'75.~