HomeMy WebLinkAboutPermit Electrical 1992-5-29
S,.IIINGt=I!2LU
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number 9~CJ SIt,
OFFICE: 726-3759
1.
LO~~ION OF INSTAL~TION
/ '1'';''(, IJI1 (.Vl(O 1..00 (J
LEGAL DESCRIPTION
1 70 ?;Z-:? ~'''7 0 D 2.0"0
JOB DESCRIPTION
"3e..Vv', & -r '-I r;---Y ( {A ',--{-"',
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor Qo0 lJo..((-('1 t(-edn'r:.,
-
Address ?7l1<l ( [1l,JSOV\ RJ.
City f<J<'''''<'' Phone 7"J..'1-5(0<6
Supervisor License Number 3~f)4 S
Expiration Date (0 - (- 'cyJ.
Constr Contr. Number (;{;3D7
Expiration Date b - 1'?
Signatur~ of Supervising.Electrician
w~A.~~
Owners Name 1\,'<: 1<, lIL1-e '/-( r
Address ~:,.-;~ il(7.lo rl-1w,Ao 11f
Ci ty S'lPfLd Phone 74 fo~ w&/
I
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: fj-Z-"I-''1f~
RECEIPT II: I.\-,q
RECEIVED BY: k~
3. COMPLETE PEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
/
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less 1- $ 50.00 jO.~
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 volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
D.
Branch' Circuits
New, Alteration or Extension Per Panel
One Circu it $ 35,00
Each ,Additional
Circuit or wi th servi'i/ 1?~
or Feeder Permi t $ 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
Limited Energy/Comm $ 36."00
5. SUBTOTAL OF ABOVE 5f.ce-
5% S ta te Surcharge Z. &/ 0
TOTAL 00.Qv