HomeMy WebLinkAboutPermit Electrical 1992-3-2
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225 FIFTH STREET e~ ~"o.~\\e /"
SPRINGFIELD, OREGON 97477 ~~~\\O~ q J I/lC
INSPECTIO~ REQUEST: 726-37!\~o~c)oo C\~ C' Job Number D I '1 ~/J
OFFICE: 726-3759 '\'\\~~\\\~.~. ~ .r'vJ.
,- 1.~",,,,\d' 1R.~\<:" \t?1 3. PLETE FEE.SCBEQULE BELOII ',' ,,'*' , _'
1. LOCATION OF INSTALLATION '';:f\ ~.$e _
1919 Laura Street ~~~~ A. New Residential-Single or
~~' ~"Q- Multi.Family per dwelling unit.
, LEGAL DESCRIPTION" "'l ~:$-'\\O\ Service I~cluded:,
J '1 ~f) I ()' /'),"1,LJ{)('./ Items ,Cost " Sum
"JOB DESCRIPTION
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
Emerald Industrial
Electrical Cont~acto~' Electric
, I ...., -
Address
1919 Laura"Street
Ci ty Springfield
Phone 747-8460
Supervisor License Number 1677-S
Expiration Date 10-1-92
Constr Contr. Number 63473
Expiration Date 1-26-95'
Signature of Supervising Electrician
O & S ~~nc'cactors
Owners Nanie >N
Address 1919 Laura Street,
City Springfield
Phone 747-9715
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------7f---'1-------~--------------
DATE: d'.:J-- I,q~ .... _
RECEIPT II: -"5 yc:., I
RECEIVED BY: lVtUaNl-l.1
1000 sq. ft. or .less $ 85.00
Each additional 500
sq. ft or.portion .,
thereof .'" $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service. or Feeder $ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "Bu
above
D. Branch Circuit~
New, Alteration or Extension Per Panel
One Circui t 1 $ 35.00 35.00
Each Additional
Circuit or with Service
or Feeder Permit 2 $ 2.00 4.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$39.00
1..9~
40.95.