HomeMy WebLinkAboutPermit Electrical 1993-8-16
V 225 FIrnI 'TI<EE"r
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~..~
The fO"Owlng . ~.
zoning, ond' dProjoC! aVitted has ELECTRICAL PERMIT APPLICA, TION
97477 Ilpproval. oeo nOIre ulr specfflc I fhe fo"OWfng
726-376~ ~nt~ _ andc"i"iy Job Number 7'3/ 0'7 (p
C,to. 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATiON"izod S;;jnatu , r ,l\
~(n L.tr:JCl--rAl/l7I. I AJI'6, re~esidential-single or
Multl~Fami~y per dwelling unit.
LEGAL DESCRIPTION Service Included:
17n"3 '27-.2- t 4-3tn:>
JOB DESCRIPTION
rAdttJ.U A1~. ~ lilt/A)
~, I
Permits are non-transferable and expire
if work is not started wi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Nanie..57"Bt/&1 ~~V .~~
Address 9-" &, . L~A) M/E,
City ~j7J). Phone "?1-/J/)2/7
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for saie, lease or rent.
o~gnature:
I ~ ~-fd:!i_! q~/-
DATE: (\g71 '.
RECEIPT II: l_ Ij _
RECEIVED BY ~.:.. ~ \LJ'r\ __
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
One Circui t l--' $ 35.00 . <:S 6j)
Each Additional
Circuit or with Service .11,00
or Feeder Permit j $ 2.00 ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$/36.00
5l,~
} . S<...7
-h,'6.'A. ~