HomeMy WebLinkAboutPermit Electrical 1992-11-9
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Thotollo' .
INSPECTION REQUEST: 726-3]699, ";~'~p'oJoCt City Job Number ~~ /4/~Y
OFFICE' 726-3759 PP'O\'~f. GOes nOt ~s SUb~rtt' F.
. faq . "'18rlh'1o
<to ' "y,sPd:;gJil;l/;BrJt, F~E SCHEDULE BELOII
1. LOCATION OF INSTALLAT'!QN L / ~lng~ P - ,- ~nd "so OWing
\q'1~L . --'-.::~~New Residential-Single or
, '''''ori''sdS. flulti-Family per dwelling uni to
LEGAL DESCRIPTION ,gn~llJro Service Included:
/7---r::P}""2~-/:2._ e:J//c:::t:::> Items Cos t Sum
r
JO!l DESCRIPTION l.'" _ _A01",r:, ... "
l o'!(J\L~I/\f(\J' 8! C\1J\.J \~_UlUJ..l..Uffi'\Vl-J
dA -:. <UM.uit
~rmits ar non ransferable 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.tJS P~,H1~JI \.~,
I I
Address P. o. ~n-l. 14-&1..-
I
CitY~ri\.l',tfnL Phone~~1o
Supervisor License Number I b 8 [" S
Expiration Date ib -/-q5
Constr Contr. Number 0:\ 9. q.q
Expiration Date q-l-q5
Signature of Supervising Electrician
,_a.~c;7~~
Owners Name 3-~ ~
Address /QI'14- ~cL
Ci ty j,\C\f\.lf(\1l) w~ri , Phone q1411
~ an
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: I~?~ '
RECEIPT 11:
RECEIVED BY: ~V~-.
$ 85,00
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 15.00
$ 40,00
Services or Feeders
Installation, 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 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D,
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00 35'.00
Each Additional
Circuit or with Service 4.00
or Feeder Permit ~ $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy /Comm ,
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5, SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,1Q.DO
1._Q0
4o.Q,"l