HomeMy WebLinkAboutPermit Electrical 1992-5-6
St.'IINGFIELD
rtl':'~"1 ~
, ""'O~ .n "'"
225 FIITH STREET ~pn~ng, an~~g;~lacta9SlJb",,,, ELECTRICAL P'ERIlIT APPLICATION
7 OVal nOt req / ...ed has
SPRINGFIELD, OREGON 9747 ' , lJre8peC/nc/ thefoltolNl
INSPECTION REQUEST: 726-3769lon;ng 0 _ 8rldlJ9€it'YlJob Number 9//:2?c?
OFFICE: 726-3759 i' 5 J: f..-:
'10' Z-
1. LOCATION OF INST~Slgnature
t:; 7'2 / 0/.#"'- /" ~pA-'_
LEGAL DESCRIPTION
/--'? 02. --0 '3'-// t"'!:J l./2' c::>e:>
,
JOB DESCRIPTION
IA//~/~,~ ~~.;;,
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 Contractor LY".N'A/-:S ~
Address Pt:::? ~>< ~
, ,
CitY;:~??/--?f' Phone 77'-~7.s-
Supervisor License Number 2.?~77
Expiration Date /,??-/--f)'z
Constr Contr. Number "2.3/0/
Expiration Date
/~~S'~"7Z
Signature of Supervising Electrician
-:$.rNv--A t? \A!\rorJ--
ownersUNa~e 7 c/./ r~~Ar~//
Address
City Phone
OllNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:S~J--:??
RECEIPT II: t7"~~7
RECEIVED BY: // ~ _~ ~ ~
'/
OMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Family per dwelling
Service ncluded:
unit.
Cost
Sum
Items
1000 sq.ft. or less -L $ 85.00 p~
Each additional 500
sq. ft or portion < ""?'5"
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
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 Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE .4{.:::? c:o=
5% State Surcharge R- ...=
TOTAL /hs:?~