HomeMy WebLinkAboutPermit Electrical 1992-1-27
"'.
:;?
",,:-Ol}
'f'- "oS
~, .:',~
r::-{:.t
...~'...tI .
^......l..';'
..... {il"
:/~~/j! .
(';':!..~
c;J ~.;,,!
r:?" r"',~' .
.C~ <.:.~
^~ r.~:J
-(;,;,(:,':)
oJ
225 FrITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
Ip~TION.Or I,NSTAJ..!.r!'.ION
(() 7f) M (),j;V'-- i:3I.
:-.l:;'~Y- "-
LEGAL DESCRIPTION ,;f.::~,. // ..~
l70-335::O1 -o'iS'l~:!/' ~fi ".d';-->
",. Y'~
1>
JOB DESCRIPTION. ,,? .,}&
z.. '5~l5, -' cJV..Tt~ 1.'ir='Jrh}lL'%.'
. v 0
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~ ~'lk
Address i?c').::g1JK (oB-S u
City=Ki<'t.<:,;.,::;r-l.hl Phone qSt-r2cJ1.~'/
Supervisor License Number .l.] '18'- S r
Expiration Date I Cl - I - '1 $-
Constr Contr. Number 7~?r 7 I
Expiration Date 12~ ~\ - 1<
Sig~" "~~:'ff'
~ V v\...;-
Ovners Na e y,^~ G ~ h 8Z5V\
Address
City Phone
OYNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.Ovners Signature:
---------------------------------------
DATE: i ~Z.f -1-Z--
RECEIPT lI: 3F:5"J F]
RECEIVED BY: /1 A,:IN--l2.-
E FEE SCHEDULE BELOII
.'''.*
Items Cost Sum
y Residential-Single or
ulti-Family per dvelling
Service Included:
1000 sq. ft. or less'
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders.
Installation, Alterations or
Reloca t i on:
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
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Ci rcui ts
$ 40.00
$ 55.00
$ 80.00
see "BII
above
Nev, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting ~_ $ 40.00 ~~
Limited Energy/Res $ 20.00
Limi ted Energy/Comm $ 36.00 .
5. SUBTOTAL OF ABOVE
5t State Surcharge
TOTAL
"X1J ,CYl;
.i..,.Do
K4 0()