HomeMy WebLinkAboutPermit Electrical 1992-8-26
SI"fIINGPIELO
ti~
The f II ' .
225 FIITH STREET lonln~ :'~~;;~ojec; as submitlad Mas the fJ.j~ICAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97 4 7'lPpro~al, [&'S no require SPAiliC land uso
INSPECTION REQUEST: 726-3769Z --fY) Ci ty Job Number t9'2 //~ 2-
onlng
OFFICE: 726-3759 """,,,_r:D. . "11 - '1ft.
um,o ~)~V, COKPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTAL~ol!ad Sinnetur. ~
I'! (" s IYk ()fiW~ C'c},^lC.\t L ~'1l" 'l.e.sidential-Single or
Multi-Family per dwelling unit. .
LEGAL DESCRIPTION Service Included: ,
/7-~2'~'0/ ~~~ Items Cos~ Sum
JOB DESCRIPTION .~ 1000 sq.ft. or less $ 85.00
,J<.r", f'^"'-f C:~It""-"'\ Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
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 $ 40.00
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~i ~ ~
Address f,u I Box L~ L(
Phone '7 If'f -u '1 0 r
Number '3(;; c(; - s-
10/ro/,3
City Jt+~
Supervisor License
Expiration Date
Constr Contr. Number '2C1-V't'lC.
Expiration Date loJ/ol 'i '3
Signature of Supervising Electrician
~____ eJ ,L ,'~,ut/.
~ ' ,
Owners Nallie E :l-f...A. '-< IQ--vrl j
Address 1% 3 rYlc.. ~
Ci ty5rK (eL Phone 7t14 _1/7'/\
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: B-';;?d;~"2...
RECEIPT fI:---6'4'1I!I'
RECEIVED BY:"'-:~7 e-
~
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
$ 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 "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t ,. $ 35.00 7r
Each Additional
Circuit or with Service
or Feeder Permit S 2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pl1mp or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. ?~~
SUBTOTAL OF ABOVE ;;;1 ./ .
5% State Surcharge /_ '?-r-
TOTAL ?~ ~,.-
'i '2-113 ~