HomeMy WebLinkAboutPermit Electrical 1992-4-7
S."..INGFIELU
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225 FIFTH STREET "0,,'1;(; 'Y'i)ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 4 77-'C"~/"C/ g:,o/"", a f\f'.S;::.. -:?41
INSPECTION REQUEST: 72~-3769 ~~"c;'~.~<;6 City Job Number -l(-l} L \: . '
OFFICE: 726-3759 ""16' C%1l 09<;1'0 "'Ittod
4q? V,7"~~c~~~~TE FEE SCHEDULE BELOV
1. LOCATION OF J.;NSTALLATIOti- ",.' IL/ ./~"rJ /CIICIy: *
~Yi\~,Q \ 'I[}"",,,- New R~'Sid'3ntial-Single or '
a v Multi-Family per dwelling unit.
\ '1~~f/!!f?'''A-CJ:[)" Serv.ice Included:, Items ,Cost Sum
.JOB DESCRIPTION
~'ltJ\.VJ\o '
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. CON'l'R,ACTOR INSTALLATION ONLY
Electrical contractor..c...~,S' PDlli;,1I ) ~.
Address P.O. Pmi. 14-21-.
- 1-
CitY~Iir1_~~cll Phone '14'-~-;J.3/"
Supervisor License Number ~~
Expiration Date /0 - l-q1->
Constr Contr. Number 039.4-Q
Expiration Date
q-l-qL
Signature of Supervising Electrician
_;(}dA(w 7?'&....,.,~
o:::rs Nanie ~ - ~
Address 13 -;?.I cf{J I Lm~ rI.?,ll J
Ci ty~O ij d ,Phone 1'4-1 - 41 g9
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------{\ ---~--------------
DATE: 4.. \ ,C1, fL--. _ ""
RECEIPT I: i /I ~ Li.,..J
RECEIVED BY: (~fJl;:1f , .-/'.
$ 85.00
sq. ft. or less
additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 15.00
$ 40.00 .
B. Services or Feeders
Ins talla t ion, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 ~mps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
D.
Branch Circuits
\,
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35',00
$ 2.00 1.. , 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 31.00
5% State Surcharge i . i?5
TOTAL .1~L 25