HomeMy WebLinkAboutPermit Electrical 1992-1-30
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225 FIITH STREET ...\~~CAL P'ERIlIT APPLICATION
\ \ SPRINGFIELD, OREGON 97477 \";B'~.'lh!f!\\~':~~\~;;dU"~ . 17nf'..f\Q 1.1"'1
~ INSPECTION REQUEST: 726-376?......\_..,..\.\':\;~\.oC\'\\'"o.' Clty Job Number Y ~
OFFICE: 726-3759 ,r": .\' co'" :n ) -
7~~:::,.;..i. '.^~ ~ eOMPLETE FEE SCHEDULE BELOII
1. qj;~~N OF mLLAM.0 ~ ~-ti[
, - q . G r"._.--:~,,~,;..~~cffi_~:;~:~;i:~~S~~~i~i~; uni to
,LEGAL DESCRIPTION m'r...;.;r~" Servlce Included:
..., ('., p.. \ q ('\(') ~""1 X ) Items Cos t Sum
cl1no(f~s~n SR eeJ
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRActOR INSTALLATION ONLY
Electrical Contractor P1l 'J l~
Address ~qS \'\\00)\ t1'~
Ci ty co)~ Phone 4'1. es-rf122-
Supervisor LYcense Number c:OGJ f} ns
\(), \ ,q~
Constr Contr. Number (j 4Q. C{Lo
\G.\D.q~
.. ~"'~"eZiol=
:X"" N.""~XY1A \J.~ D.
Address 12 ?l) ~() ~ \nf'CL D.~.
Ci ty llH 11 0 ~ i r ttPhone
O\INER INS.ttLLATION qoc;r+ I
Expiration Date
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
, I
,
~~~~~=--F~~=q9:.-':--=~---=---
RECEIPT If: J ~ '")\.od.( .)
RECEIVED n Y: 0"\ (i'r.l ___ . .
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 W
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "n"
above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/OutlineLighting
Limited 'Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
S 36.00
"I)[) 00
a.,'-')(')
~~).~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL