HomeMy WebLinkAboutPermit Electrical 1992-7-22
. ~~
il",le.r.~~~I\~~i_~'" ), , . ~.f
225 FIFTH STREET =~~rd(/<:l-~'f\Ql~!{j\~,~~~~~~'McAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 1lt1 a'l.( q'":2n
INSPECTION REQUEST: 726-3769 don~n~_~ A') _ Ci ty Job Number l,^\") l"') /
OFFICE: 726-3759 Dete J .~7..- ~ .
- 1~OMPLETE FEE SCHEDULE BELOII
1. LOCA'H,o~ 9~ IliSTAL41'l<fflttho~SI9r.atur"
Lf~) ~~ . A. New ResidentIal-Single or
Multi-Family per dwelling unit.
Service Included:
\-lb~ ()rl?m
JOB D~SCRIPTION ~ /I .
I Q:l./1.1 J \ iU rm. JL.)
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~8@~Q~.
Address-Y .f). ~'1' 1.4'2~
City~Q.rl1 Phone 141-1./)..:~)/""
Supervisor Llcense Number ~b S
Expiration Date 10- L-q1--
Constr Contr. Number . ().1~41
Expiration Date q -1-q1-,J
Signature of Supervising Electrician
a;~t:/7dx:
Owners Name \)IHlllml J.GoOooili,1
-
Address~ /tal .
CitY~t1J ,Phone '141-j, I()~
O\INER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~-------~~~-~-------------
RECEIPT # /) 8 ' "'lWnV
RECEIVED BY: (/ I\A ') . '\.;-
'-' .:.._" -
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling.
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 40.00
$ 55.00
$ 80.00
see liB"
above
D.
Branch Ci rcuits
New, Alteration or Extension Per Panel
One Circui t ---1- $ 35.00 ~'D
Each Additional
Circuit or with Service
or Feeder Permi t 1. $ 2. 00 ~6D
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
-M. 0f2
I.QS
I{.{) , q.c:;