HomeMy WebLinkAboutPermit Electrical 1992-1-9
\ t('t
225 FIFTH ...""''''. ~~crRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~~ \ A
INSPECfION REQUEST: 726-3769' ~v'O~~~e;. City J~b Number o//t1-=3:< /
OFFICE: 726-3759, o\c<i';~~o.v~" *
-5"7;)'''5/7/#/# ?T' 'Vi'~""J~~~(\. CHEDULE BELOV ,
1. LOCATION OF INSTAI~~T.~pN' <, c\\o
ALBQ'2..T'fj:)I..\~ So. ~gt\ JC'~Il.? New dential-Single or
"y' ~' ti-Family per dwelling unit.
LEGAL DESCRIPTION \- ' Service Included:
I?~ ~~-=?- yt,.l" e:::-.....-z:$' ~~
JOB DESCRI~ON 1000 sq. f to or less
5lV\OKF: t'll="n::cmr I:;:'PRlt-J ILUI MoNlmi'~ach additional 500
. sq. 'ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for HodularDwe11ing
180 days. Service or Feeder
.'
2. CONTRACfOR INSTALLATION ONLY
Electrical contracto:WIWlP.J lPt~
1- I
Address !I.Ill) 1-1.~ L~
Ci ty, falC;; J./lL.. PhoneYK'~C2l21,'
Supervisor License Number 'dO - J~
Expiration Date 10/q2-'
Constr Contr. Number' ~~Lt,~~
Expirati e t/} li/h1_
" ,
Si ture o~ Electrician
J'" /' -AI"./
Owners 1anie ~ ~ .
Address SO, ':>~ 11'N'-IUY\"L(l?\-{(".U~
City SO/2..W~t leL-V Phone It( l-')W(" 7
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: /- -9.... Cf!l
,RECEIPT I: #jv5?~
RECEIVED BY: ~~.'
"/
'. 1.1.
~.-.....'--.-.~.....
It ems
B. ,S~rvices 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
Cost
Sum
$ 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 amps 'or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above '
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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 EnergylRes $ 20.00
Liinited EnergylComm $ 36.00 :-\/".00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
3".00
1,8"'0
~/,YO