HomeMy WebLinkAboutPermit Electrical 1992-7-10
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-371.9
OFFICE: 726-3759 te
e fO!lowing
Zoning an project as sub
approv~J. d does not reqUiromlttod ~"" IJlt.Ilf!:l.'lUC.AL
spaclflC land"-':;;;-""'!T
Zon/!, City Job Number 92LJ ,<=).'<, 7
One Ci,cui,t
~ Each Additional
Circuit or with Service
, =
oLFeeder-pel"mi.t-I?5~-$_2..00_g5:>,-;~
~t!.-~#.!..?f~!l'~4~IW~r.lli:r'~~f{f;~~'fp.,'7t"::n=D .
-E. \frstef-i'i:.rt~{''us-(~rv Iffi1eea'er_no t--'l n c lure~'
-Each installation
Pump or irrigation
Sign/Outline Lighting
Lfmi ted Energy /R'es
Lfmi'ted Energy /Comm
Aut/1')rb:.Jd Si
1. LOCATION OF INSTALLATION ,gnature_
.r;'2~ /,t~A:;6 ;7?Z;:>, A.
LEGAL DESCRIPTION
/7-tt:)2-Z~~. e>o<olC;/
;.oJOB_D~S9Ul'TION 1
'oW';' ~n--J:... &ATS
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....J:.l<G ~~
"d'N~ -- if .
City . . J) Phone 7ijfo- "IoS0
Supervisor License Number ~ S
Expiration Date
I('} - ,- q;J..
Constr Contr. Number LJS I aq
Expiration Date~-:::l. Lt::....9 ~
Signature of Supervising Electrician
, ~omf()/)1A ~ ,_Jl1"A,.nk~ .'
Owners Name
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: 7//o/'l..2.
RECEIPT #:' (c;5"/~
RECEIVED BY: ~7Tf": '--
COHPLETE FEE SCHEDULE BELOV
New R~~iuon~ial-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'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 J:J... $ 50.00 ~o.~
201 amps to 400 amps I $ 60.00 ~.ce.
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 nB"
above
D.
Branch Ci rcuits
New, Alteration or Extension Per Panel
$ 35.00 .
5.
SUBTOTAL OF ABOVE,'.
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
, o:J
13ft), =-
, (,5,50
# /375, S,E.