HomeMy WebLinkAboutPermit Electrical 1992-7-24
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I ~):to!!owjn~loJtlct, (IS submmOd hGS the iolloYt ~,
225 FIFTH STREET ;~~;~~.f.nd aoes 11~ r:1-ul~e specific EtEcrRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGON 97477 \:y. Q/\ /)(7'2 c::::.
INSPECTION REQUEST: 726-3769 (\Z?\,~g ./A 'I . Ci ty Job Number--L.q ur.:1.. l
OFFICE: 726-3759 Pele . ,/If; -IV
, , W COMPLETE FEE SCHEDULE DELOII
1. LOCATION OF INSTALLATIONAuthoflzed Signature .
C.VD MIJ-J>.f <'7, A. Nelol Residential-Single or
Multi-Family per dlolelling unit.
Service Included:
I fJ'tf'~~~{ON ffi9riJ
JOB DESCRIPTION
Gthc..... c, It; N
Permits are non-transferable and expire
if 1oI0rk is not started loIithin 180 days
of issuance or if 1oI0rk is suspended for
180 days.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DloIelling
'Service or Feeder
$ 85'.00
~ ,"N.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, ~lterations or
Electrical Contractor N&oi'J l.4-nrvOb5 Relocation:
Address tj.<?IO W (I ~ A'vc-
City 0G~"'6-' ~one..li' 1;,u-l-.63(,~
Supervisor License Number La - ~ I Ct....S
Expiration Date
Constr Contr. Number '6310/'
Expiration Date io /, / q7--
Sl~'Y'f~;;:~~~
~d'~1. ~/7__'
.// .
O'RtteG;" ~ \~ e...G(.(,;>NN ., I G AJ)
Aldress >17 t (}~) ~ ~
CitY~~ Phone1:1!n-7v.k3
J -
OlIN INSTALLATION
The .installation is being made on
property I Ololn IoIhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~:-~-~~:~:;::-I-------
RECEIVED BY: . "f..A. / -
."
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.
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
$ 40.00
$ 55.00
$ BO.OO
see "Bit
above
D.
Branch Circuits
Nelol, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or loIith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
-ill
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4n.CfJ
_,21 .Ul.,)
4!J' u..J
,
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL