HomeMy WebLinkAboutPermit Electrical 1992-7-27
P"""""-
S,-'IINCt=IELD
ihelollowln~ J tit.
Zoninu, e.nd' pr~ oct as subml!ted h .,,~
225 FIFTH STREET approval. doeo not req't~"'"'- u T APPLICATION
SPRINGFIELD, OREGON 97477 z CD q qq /
~~;i~IO~2~~~~: 726-3769 Date~.n~.J f?r~JOb Number . 7..R)
Auth~ $gnattlfO E FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION ~ n (\ A e
~ I A c::: (;.kTE \J ~ L80p21JVtY-' A. New Residential-Single or
U Multi-Family per dwelling unit.
\-/(~~Vr~AnN O~\rfJ Service Included: Items
JOB DESCRIPTION
"lief t-lf:\....J Sl(".t-..)
Permits are non-transferable and'expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY - B...
Electrical",C~ntrac_t,9~ L'/~. MO't'I<; e(<!cJ
Address' '!-$",:, c.;Hr:'U.e-'I ~re.
City <:.t'rC Phone..JA:J-olrl r
Supervisor License Number ~ 00<:- 5
Expiration Date \1J. t .C\ ~
Constr Contr. Number 0 I <;('3 $("
<.O-'!>1c..
Expiration Date
Signature of Supervising Electrician
~:J-I ~Oe"Z.._
Owners Name GrlOc.eev e141!7S
I
Address /5/0 J/tC.JI(.}tfl4
v
Ci ty 15:d..elVc, Phone
9'1 udd/'
&rr-of~k
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 7 -2--7-'12-
RECEIPT II: '770-0
RECEIVED BY: ~.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation'
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci-rcu it
Each Additional
Circuit or with Service
or Feeder Permi t
E.
5. SUBTOTAL OF ABOVE
5% S ta te Surcharge'
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
S 36.00
4 0 <?2-
40 00
2 ov
41.. ~