HomeMy WebLinkAboutPermit Electrical 1992-10-20
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225 FIFTH STREET Jh~,fO"owjng projeot as su!bti;iWtdA~l!blUllJ;R;r.cAL P.ERMIT APPLICATION
SPRINGFIELD, OREGON 97477 a~~~~:.ind doos n~l roC/Wr spooi/tc land us;,~'''''ir-
. INSPECTION REQUEST: 726-3769 to,;1 City Job Number 92./47
OFFICE: 726-3759 lr: J2
. [H.' . .I.Y..' .' COMPLETE FEE SCHEDULE BELOV
1. LOCA;nON OF INSTALLATIQN';\;hi!~J;l-3'~!iiilllt-: ( 'H
h'2a 5' ~iivLYeroU'i? /i2;JS',6;~ IL ll.8sl.1~ntii;11-Single or
. v Multi-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
N/A:- Items Cost Sum
JOB, DESCRIPTION
.7,;iP/.r-:,.-,.....:....-5/&A.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.
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
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~
/
B. Services or Feeders
,Installation, Alterations or
,F.;/-r-F7.etC Relocation:
Address /07 ( '?ES~~ S7
Ci ty .4L~<f
Phone 9?6-77/Y'
Supervisor License Number 3<:) 9'7.3 .
Expiration Date /() -/-0;17
Constr Contr. Number i;; Cf::,tl-
Expiration Date ~-d7- <7.3
S,iZ;~
Supervising Electrician
I
0R~.-
Owners Nallie
Address
City 'Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----~---------------------------------
/Gi -2..<!) - 5' L
/...<?_ 7
-#~~
."e. .'
DATE: '
RECEIPT #:
RECEIVED BY:
200 amps or less v--- $ 50.00 5D:~o
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
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
D.. Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
$ 2.00 (';.,t>-D
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 56.0-0
5% State Surcharge ;?~
TOTAL 'F~.e,t)