HomeMy WebLinkAboutPermit Electrical 1992-6-1
!he fOfloWi . ~l
.~O'1in9 8 ng Projoct . ~..
225 FIITH STREET apP'O"~I, nd does. nOf~a ~,/>rl1iEMUiECTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 "',' I 'CPl.lCffi~"i:,~-;~~!'\"l;. 9 _/-
~~~~~~IO~2~~~~T: 726-3769 C.iJ-1€.Jir ..,__~: ty Jo~ Number 2D 7'72-
Auu:or;,...;t " "L[HPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION . S:.sna1Ui'e.. ~
7C:; tht"J t/L~!//;;";7 / ~ A. e"'Res.i.<l~tial-Single or
.. . Multi-Family'per' dwelling unit.
LEGAL DESCRIPTION Service Included:
/7 CJ _?, 2 3 ~ 4t:!70 Items Cos t Sum
JOB DESCRIPTION
?;.~ r'./A't,;j.:.r/7
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~~ ~~/
Address J. ~ ...-?/Y?< ?.h d
,
Ci tyW~~ Phone 7<1-1-tJ 7/A('
Supervi~or License Number ('61&:>0 S
Expiration Date ~/.I~1'~
; ;
Constr Contr. Number 7'?sor
Expiration Date " . c:;..~ hf
Signature 'of . Supervising Elec~'jJian
7-->At-- ~ ,G. -d~
Owners Name_;.;;p~.k" J/Corp.! L)
Addr.ess
City
Phone
OVNER INSTALLATION
The installation is being ma,de on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
, .
---------------------------------------
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46;:::'/5'
'1.P'~.
~/- .........
DATE:
RECEIPT#:
RECEIVED,BY:
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
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Tell1Porary 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
?j-
One Circui t (._ $ 35.00 J
Each Addi tional
Circuit or with Service
or Feeder Permi t $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
P~mp or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limit~d Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF,ABOVE
5% State Surcharge
TOTAL
1\
J 7.F
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