HomeMy WebLinkAboutPermit Electrical 1992-10-19
. .. tif
Tho foliolYin .' . E~CTRICAL. P'ERHIT Aqtj'P LICiZtT ON
225 FIFTH STREET .. ~oni,'n .".,9. fl, 0)0::1 Os sl'hn'''' . 5f
".. e..!': aoE':,) n . .,.ue la" th 'f ..
SPRINGFIELo, OREGON 9i477 ",'pro,',,!, - . ,0, ,'oq<;:redn'-'f',;', ,~n"o\\'iI';G
. l.t...l";I,jl..,l;,r;'''\I''3:3
INSPECTION REQUEST: 726-3769 7.!U ~ ). City Joli Number
OFFICE: 726~3759' ~onln'!_l:~. . .
, , , Dattd 0. \q,~ COI1;~l'" FEE SCHEDULE BELOV
1. L~~~~ ~~'I'I[\ ~1':~:~>USigno1lW;( -u... Residential-Single or
- ~~ti-FamrlY-Per~dwelling unit.
\ ,\1')~~~N 0'1 \CYl Service, Included:
J\ J~DESCRIPTIqN n 0' ~ 1000 sq.ft. or less
~ \.'J.. S'\(' I , I -r.:) -Lrw- . ,N1\ I v:tachaddi tional 500
.. . sq.ft or portion .
Permi ts are non-transfer~ble and expi e . thereof . .
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work.is suspended for Modular .Dwelling
180 days. Service or Feeder
. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Co'ntrll(::tor "'8:kN CZ:.cz:r,
Address /J:5~~ t ~CXJ>P \)0>>
City-DnOll Q ,;hone 4lo/ ~ fJ'lCf I
Supervisor Qicense Number .~~~
I [) , \ ,QS
Expiration Date
'Constr Contr. Number ,-~'7
Expiration Date
\rJ.\ ,Q5
s~~ure of su~rV'Sing Electrician
....-.4_ 1, -'
O~ Narrie/ \l ~'(\\\.~ f\S
Address \J(') \2J y. PA
City cb~~~f'l_Phone l-1i (i~7i
OIINER ~S\)LLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~---~- U i \q~q~-?~--:-----
RECEIPT I: ~ . ) LtrJ/4
RECEIVED n~~ HA .
B. Services.or 'Feeders
Installation, Alterations or
Reloca tion:
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
-
Items
Cost
$ 85.00
$15.00
$ 40.00
$ 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 ampsor.lOOO volts
D.
B'ranch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service~
or Feeder Permit ~ $ 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
Lirriited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
4 \ ,Of)
q,(l~
4h ,C--:tl