HomeMy WebLinkAboutPermit Electrical 1992-10-15
v
. bmttted h&& ~he foI!ovling
The 1(\U~"Jinl) pT~I~ect as Sul..1 #' "if'C land usa
225 FIFTH STREET 7" c:." .;I0~C not rfD' 0 <po".. ELECTRICAL
SPRINGFIELD, OREGON 97477 ,." I f\'
INSPECTION REQUEST: 726-3769'onir.g..W. --() Ci ty Job Number
OFFICE: 726-3759. r _\o.J~q '(..:/3.
~ COHPLETE F~E SCITEDULE BELOV
1. LO~'JiI-9N-,~ INr~A!:.4:r~JONi.edSigna\Ule l A.
' (;,,)'-1' / t-'-') IA 6 Nev Residential-Single or
Hul ti-Family per dvelling uni t.
I. ~D!;lR~r~\N [)~rtl-'J Service Included:
cJp~~)DEiJEl~ -~ lJto v,p() IA)~
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Contractor
."
/
/
Address
Ci t"
~
Phone
Supervisor License
Expiration Date
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd !Iome or
Modular Dvelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Cost
Sum
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
$ 85.00
$ 15.00
$ 1,0.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. N
C. Temporary Services or Feeders
Installation, Alteration or Relocation
~ners Nam~*'t~ I ~_\ l)l t\ lrv1B~
Address 'lrJ.. Cf 7 cfj1)lLLjf "
City )<;Jf(~Phone 7Qfo-(SJ:S
OVNER INSTALLATION
The .installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
. --
??C~at~re:/ ~~ t2~ ~
Xo;.;:;.o----cL~-~7iY,!ti'7W
RECEIPT #: ~.f/ '_ (0 ,j-
RECEIVED BY: l '/\.1 j l.CL...>
, '-"-" )
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
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t
E.
,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
I
$
$
$
$
cJ)OO
1.0U
r:!l (.00
..
QL()
40.00
40.00
20.00
36.00