HomeMy WebLinkAboutPermit Electrical 1992-8-17
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFI~i6-3759
1. __N r/lflJJ}:;TION
J<iCS:t~~P'Y~ ~~
G ~B ~~f~:r~NQ D0 0 ) /JP-A I tJ
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 INSTAL~TION ONLY
Electrical contractor\0illS sle.c::t-
Address c3'1\) ~ ^) \ \~ ~~ ~
City t)J~ ~hone lo8f)~ I g-Sl
Supervisor License Number ~~
\\). \. q~
Expiration Date
Constr Contr. Number d \0~ \
Expiration Date
4- . ~~.qC?J
't~
Owners Name ~'1)to 1 ~ , ~ j; ~ \ Id D15 D.
Address 81"'6 h()- f\~\(~~'
City~-Wd-- phonel '2lo- \ CC25
OVNER IkdTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~----~:rry~~~-~~-----------
RECEIPT #: .J..' 1/ \,..') ''-1:y3
RECEIVED By:q /\~
S.".IINGFIELO
City Job Number
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
~
~
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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Ci-rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/8D oq
KiJ~::~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL