HomeMy WebLinkAboutPermit Electrical 1992-11-13
. following project as submitted has tho foil ~f
.,~ing, and does not require specific land usa ". ~..
225 FIFTO STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonina C C n /)j rl cf:) /'1
INSPECTION REQUEST: 726-3769 I 1_ t? -01""'" Ci ty Job Number ~N ,--rJd-.
OFFICE: 726-3759 Gate~ cf...
Authorized signatua,~~OHPLETE I'EE SCUEDULE BELOII
1. LOCATION OF INSTALLATION
-1()1~ ~ A. New Residential-Single or
/70"'.......' Multi-Family per dwelling uni t.
LEGAL DESCRIPTION 'v~CJ() Service Included:
C (') .;J?O S- Items Cost Sum
JOB DESCRIPTION
~
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
Elect~i~al Contractor~~
Address2)ll ~-(J.l~) ST,'
Cityt;"~ PhoneW",--17fr.,?
Supervisor License Number ~3'? S L
Expiration Date
Constr Contr. Number~LJ~/~
Expiration Date Z>~~~~
SfB:~u~ ts~:~;~ ~1}ctriCi.an
~b.rtt- HttiAC~i?)~r
Owners NameC:;:-/'1.V AJJ.)().,Y ~~
Address~D ~ lJAf.JP< BLUb.#sK
Ci ty~ 'PhoneGJ;;2-S"ID!
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~~------77-~~~~21'/jr;-~---==:----
RECEIPT II: 'I CP'lq "')
RECEIVED B~UJLi\. J
1000 sq.ft. or less
Each additional 500,
sq. ft or portion
thereof
Each Manu f' d lIome or
Modular Dwelling
Service or Feeder
B.
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, A1teration 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 "Il" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting /
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder petmit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00 #,Q.~
$ 20.00
S 36.00
40.00
ry . c..u
~.Dc)