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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:?~