HomeMy WebLinkAboutPermit Electrical 1992-6-30
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225 FIITD STREET appr~~~doas""'~~'1n.,~lit4L PERHITAPPLICATION
SPRINGFIELD, OREGON 97477 'I' lilt riA 1'\1'1 il
INSPECTION REQUEST: 726-3769, Ar"/ ( Ci ty Job Number ......\ r.J..l ) \ -...; 0
OFFICE: 726-3759 AC>elllh!~s;JI.IOj-l5' *~ .
_~ OMPLETE FEE SCHEDULE BELOV
1. LOCATION QF I, NS:r*LLATION 9nature
.Jl..4 01l.0 IN'l .:tt. A. e aI-Single or
n02 ~S~ Multi-Family per dwelling unIt
LEGAL DES~PTJ~l_ v \",.) Service Included: . . ,
C'flMJfJ1J:l QJ~.I^ o-t Items Cost Sum
, JpB DE~CRIPTJON ..LA ./..
M~ C' ~1HJ1J -d- I"'r1dJIV/J
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
Electrical Contractor,Il<~ f?Do"t;~,
Add ress ;L 1 S') tf)ro"\'
Ci ty 9.f~~,;o oJ Phone 71//0 -1/(oS&:'
Supervisor License Number ~ R,')
Expiration Date 10- I -q::J.
Constr Contr. Number 45; l.oq
Expiration Date Ll-.:JLj- q3
Signature of Supervising Electrician
%lnmri-J ~"~C QA- "
Owners Name CflMm: ~'ArJJLlf
Addres..s_1J;4, ~'.dUY" :
Ci ty ~J. Phone
~LLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~-----r-r7~fL)~~~~--~----------
RECEIPT 1I: LJI .' 8.-<''::11
RECEIVED IlY:~ , ~.( /'11 .)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ BO.OO
see uB"
above
D.
I\ranch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00 ~6
Each Additional
Circuit or with Service Lo
or Feeder Permit -3 $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t i neluded)
5.
$ 40.00
$ 40.00
$ 20.00
$36.00
4/oc)
.~ ;:~(~~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL