HomeMy WebLinkAboutPermit Electrical 1992-3-24
1. ~~~\ OF C)~~?
~ ~SCRIPTi.!llt ' (]
-JJ()~~9-() (y)\<U
t~ DE~<RP'~rC n n ] /ID n. (\,., 1-" 1000 sq. ft. or less
\ A J C)'.\~.:il n Kl LI ~J\I.'^J'..,U..z_)Each additional 500
, I sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
'180 days. Service or Feeder
'1
225 FIFTH STREET
SPRINGFIELD, OREGON 9747jD"~
INSPECTION REQUEST: 72~,~6~ .q ")-
OFFICE: 726-3759 OrjzeaS/g,,~ C
....l.Ire
2. CONTRACTOR INSTALLA1~ON ONLY B.
Electrical Contracto~ cl\~,~ ~~
Address B~lfi~ ~Q~ qq~
City YJ ne.n ~ Phone l~\ - ~
Supervisor L~nse Number d ()qR~
fA, J ' q;Q
Constr Contr. Number ~~(C)I:?~::S
IfJ /to ,qa
Expiration Date
Expiration Date
Signa~f.~ervising Electrician
(/ ~ ,/J/ /A (j/J1 b!A~,
Owners Nam~I2D ,f) tier jJ!M
Address I '6~ \ ~ rr2rY::' A of ,~
Cityj<.Qf\+-1 ~~Ph~rl (~17 L
V."J:.1\ INSTALLATION
,
Tne installation is being made on
.property I own which is not intended
for sale, lease or ren t. "
Owners Signature:
--..
~~~;~---- o' m~qr:J7:-=-:----:---
RECEIPT I:~_ -_ <f-{ Ji="'{7
RECEIVED BY: l..:r) 1/ LL/-
SfI.UNGt=IEI.D
COMPLETE FEE SCHEDULE BELOV
Ne dential-Single or
Multi-FamIly per dwelling
Service Included:
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less } $ 50.00 60
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service 2.00 Il('\
or Feeder Permi t 10 $ . <'i)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
,Limited Energy/Comm
no t included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
7(),OO
~,SC)
'7?J 30
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL