HomeMy WebLinkAboutPermit Electrical 1992-3-20
SP'IINGFIELO
. zoning, an aes no req I
.8PprOll.8I.. t (\~
Zoning \Jl)
225 PIFTH &..u.6. e ~. 2.0 . G( L
SPRINGPIELD, OREGON 97477 Oat . l-&1
. INSPECTION REQUEST: 726-376,~WOd.!i!gnaluro
OPFICE: .726-3759
ELECTRICAL PERMIT APPLICATION
:: ~J :v'.. Number c; / /.) 6' ({'??
3. COHPLETE FEE SCDEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 sq.ft. or less I $ 85.00 <Z'S. {)o
Each additional 500
sq. ft or portion ;Z
thereof $ 15.00 ~d?~
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder $ 35.00
D. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
.1. I.JlCATIJ>N OF INSTALLATION
7 Cf 6 ;;;:,(?j/,vl/d".
LEGAL DESCRIPTION
/ 7 t9 <: '5 1f...J :<.
!L
p 1'<600
.. JOB DE~mON
<::;7- K tf.~. .iI- A-JV: r7:{}/(
,.
.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
Electrical Contractor if" ,f;ev(~d
Address G r ;? 8'. _ 57' '4 -4 c/<"i'.
City IZ c.-Lt~ -l/,o?:.Phone_b <66' -~<6
Supervisor License Number '36' , 7 ')
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
Expiration Date /.{9 -9r
Constr Contr. Number ;;( t5J ;;;?CC c
C. Temporary Services or Feeders
Installation, Alteration or Relocation
'5 - (r
Expiration Date
-; >. t)O
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
I $ 35.00
$ 40.00
$ 80.00
volts see "B"
above
D. Branch Circuits
New,.Alteration or Extension Per Panel
Addr~ss
One Circuit
. . Two to ten Circui ts
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
City Phone
OVNER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
E. Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Signal Circuit or
limited energy panel
/'] 1'1(.) 1t'J" . ~ 5. ) SUBTOTAL OF ABOVE
\ ?;--;,( ... ,V_. ~Q::,J 5% State Surcharge
. /U) 0 TOTAL
,'. \
not included)
$ 36.00
$ 36.00
Owners Signature:
$ 36.00
( 5&.cc::.'
7.50
(c,7.e;o
DATE:
RECElu ,:
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