HomeMy WebLinkAboutPermit Electrical 1992-10-20
. I 89 cubmitled he. the followlng .' ~,
225 FIITH STREET 1li~i~g~!~2\g~~ ~~ require specific lend 'RI'.ECTRICAL PERHIT APPLICATION
SPRINGFIELD. OREGON 97 4 77~~'~ie~~\. 00
INSPECTION REQUEST: 726-3769 z .) City Job Number 9:2/,),73
OOlna
OFFICE: 726-3759 ',' ,...',^'. In .ill. (] 1.
. ~ ~ -- -\ttt COHPLETE FEE SCITEDULE BELOV
1. LOCATION OF INSTALLAT;'Led SignatUfe 1:\, \
~~~ #U7.r~# 7Y1' ~ A.
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical contractor_~~~Y&~ . Relocation: "
Address ~~. ~7.jZ c7. 200 amps or less
~/"'4' c.-,' 201 amps to 400 amps
CitY~r~;r~ Phone~-2o/'~ 401 amps to 600 amps
~ 2/ 601 amps to 1000 amps
Supervi~or License Number "2/~7 S Over 1000 amps/volts /
Reconnect Only
LEGAL DESCRIPTION
1'7-t? 3~2 2.-~ 1~~9//
~OB DESCRIPTION
/la1J€w-19-I :.::I::NJJ
Permits are non-transferable and expire
if work. is not started within 180 days
of issuance or if work is suspended for
180 days.
/ p-9&;;:
Constr Contr. Number '/90/'69'
Expiration Date
Expiration Date
u -:2;: ~
Si~, e of Supervising Electr!cian
X.~L-P~,_ - ~
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.
Owners, Signature:
DATE: '
RECEIPT #:
RECEIVED BY:
~~~o -"52
~ ~
/./4A4',
'l/
-
New Residential-Single or
Multi-Family per dwelling
Service Included:
un it.
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Ilome or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
~
~
It!TO,~
IS'O. ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'f~CJ.~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35,00
Each Additional
Circuit or with Service
or Feeder Permit 336 $ 2.00 c.,7;),~
E. Miscellaneous (Service/feeder not included)
~Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
/-:? 5 7-. tf>"
t::. -;z . ~o
/~/'l6c