HomeMy WebLinkAboutPermit Electrical 1992-6-8
, ' "', iolJc,wlng project u, sub",.., 'h' , Af, ' ',' , '
zomog,snddcesn t: I Ilao,.~..::q", ." '. . . . .' .
225 t...t>.o STREET , ,approval" t~r !'lU z;r '~I:ihnuCAL PERHlT APPLICATION' , ' " ,
SPRINGFIELD, OREGON 97417 ,loninQ \" 't? I A. no r/ ,
,INSPECTION REQUEST: 726-37691.(0 ''6'l1' , City Job Number ' '\ l.J>' rub'
OFFICE: ' '726-3759 'J-.t. f ' " "
Authorized SignattUe L.i:'-l COHPLBTB FEE SCDBDULB BELOV
1. I.,OCATION O~INs;rALLATION, '
,'("b~ ~A-J/e.."Ul A. New Residential-Single or
, Hul ti-Family per dwelling uni t. '
Service Included:
LEGAL DESCRIPTION
T: J-v ;2 foeif)
JOB DESCRIPTION,
/YWJh~/~ b/Jrnu;.. fk#.
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, B.
Electrical contractor'1t/,,/~ t.A~~
Address ,9'<\;.,- b) /./J./- ';.:)tJiI:::. ' ,
City~' ,Phone 3t./d,",,/\~W
, Supervisor License Number qij') -" cj
Expiration'Date " It? ~~/
, Constr Contr. Number dO - dgO ~
IO!c;;
Items
1500 sq.ft. or less
Each additional 500,
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Hodular Dwelling"
Service or Feeder
Cost
Sum
$ 85.00
$ 15.00.
A
, nfl
$ 35. OO";JLL:
Services or Feeders (10 Branch Circuits
'included). Installation, Alterations
or, Relocation:
100 amps or less'
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$35.00
$ 60.00
$ 90.00 ,
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
,Expiration Date
Signature 'of Supervising,Electrician
'~
'1;{l,
Address' r /) Tll JLtl
City~j~Pho~elo~WIddl1, ,
'~ALLATION '
The ,installation is being, made on
property I ,own which is not intended
: ,'for' sale; lease or rent,'
Owners Signature:'
,_(]~1.fI 'K. ~
DATE":_ ~7 () . R . qfL. !--
, RECEIu I: I 4-'-1 A
RECEIVED, BY: ( 7f /XJ__ /
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or 1000 volts
D.
Branch cii:cuits
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
,Two to ten Circuits
Each Addt'l ten or
portion' thereof
$ 35.00
$ 50.00
$ 15.00
E; Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
, Signal Circuit or
limited energy panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 36.00
$36.00
$ 36.00
1~.W
.J ;\.
'1?' "