HomeMy WebLinkAboutPermit Electrical 1992-9-25
,..,
;:Io.-r"I"lI',-",I'I~LU
ti~
225 FIITH STREET ::;~ /0110v;;"9 r . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ep~;~f~ ."d d~c~/~; as sU!>rnltlBa
INSPECTION REQUEST: 726-3769 "', reC;Uir~ Speoif~af fCityo,>lP.J! Number "7'2/2:/7
OFFICE: 726-3759 Zoning ~ and JJse
Dale 0 ,rlc.."ir, 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ~ --
<1"'2-.. L,iL!:' u. -- tiUC"WrJz d' . d iI' I
~!' !'pC> UVr.,72)A/' ,e Signa,,,., A. New Resl ent a -SIng e or
, Multi-Family per dwelling unit.
Ser e-lQ~uded:
LEGAL DESCRIPTION
17-.?~ -:2 :2-'20 tC1>ot!:> 9.:::0"2...
,
~OB DESCRIPTION
0,., / LS77? F,.~ 7?2..- __ ~
"
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 INSTALLATJON ONLY B.
" C9..~~~
EI.eetrieal Contractor ~.# /A"'Go"~c::..
"-
Address
..
,
Citv
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Si 4~.N'~~':~
gnature 0 ,~:~~7-
'Z> r D.
Owners Name '~r:p-# T.J r-A":P -?'
+..t =&:- /Q'Yc.. .
Address -., .Y,e:l- 3~:7';>rl//~~.
City ~~~ Phone 7y''''8W~
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT I: .
RECEIVED BY:
9-Z5'-9?- "
6~..:::o7
............/~III".;-
//
".
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
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
tr'O
--- $ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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 'Ie!? ~&>
5% State Surcharge ~ . 51!?
TOTAL ~.~~