HomeMy WebLinkAboutPermit Electrical 1992-1-15
S"IIINc.;t:I~LO
"",lOII~ tif
225 FIFTII STREET., , ~'-'s,,,, ~ ~~\')~':~~~~ ~LECT~tCAL PERMIT APPLICATION
'SPRINGFIELD, OREGON 974'lf!._",I"":':.!:';''J.,\~,~;no\'U';u\'" ,.,.
INSPECTION REOQEST: 726~3769:;'" ffif . Cl, ty Job Number Cj'J /0/7
OFFICE: 726-3759 . 'c.:OI/""" .. .~
. i',"';\~r_ 3. COMPLETEF SCHEDULE BELOV
1. LOCATION OF INSTALLATI_O~, \::9-- , -,'
:':;/;'/;;2..5 aLAcl eQ"'-'" .,,~,dui~ New Residential-Single or
oj,,,,-,,,,,'''''"', - Multi..,Family per dwelling uni't.
Servic.eIncluded:
" LEGAL DESCRIPTION
-LS'0 Z. 04 OM}r)!')
JOB DESCRIPTION
_A/EUJ 5.E ,,(J~. / A:-'//. ~~
. .
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
Electrica1' Contrac'to,r .
Address'
Ci ty
'Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
t
Items Cost Sum
, 1000 sq. ft. or less -- $ 85.00 1'35
Each' additional' 500
sq.ft or portion 45
thereof .~ $ 15.00
Each Manuf',d Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or 'Feeders
Installation, Alterations or
Reloca tion:
200 amps or less
201 amps to 400 amps
401 amps to '600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t 'Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
I
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
!,_" J"""I/~ I ' , D. Branch Circuits
Owners Nallie~t!n:;r, __5 ~iEc SM.(~.<<~ '
: New, Alteration
Address 3q1/) \l.lL_.Lth~
City-E..UC Phone1~- 4/~3
<...J'TI',-
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
$ 40.00 ..4Q.()O
$ 55.00
$ 80.00
see "B" above
or Extension Per Panel
One Ci.rcuit
Each Addi t;,onal
Circuit or with Service
~r 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
Lillii ted Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /71J.tPD
5% State Surcharge ~.S,o
TOTAL J -'7 <Z...S'o
, , ~