HomeMy WebLinkAboutPermit Electrical 1992-4-28
(\ (\ iI", 1000 sq.ft. or less
~ .~ n ~ '~ J.. ~ Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ~OCATION OF INSTALLATION
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LEGAL DESCRIPTION
A_,J9B D~CRIPTION n
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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 INSTAL~~ON ONLY
Electrical contractoM~~f: .J
Address A~D W \ ~
City WQW<2-,Phone LoS;( ~,Q\dJ
Supervisor L~ense Number <:)<1~~
Expiration Date \(). \ ,era
Constr Contr. Number 4q~'l.c)
Expiration Date
\ ~ ,llrJ ,g 2-.-
Si~u7)i~:iE~~ician
Owners Name U-, ~\ \ \ i \f'.-.~
Address \\
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------7T---r7 '
DATE: ~, Il. ~-~ z..;,----:--------------
RECEIPT ti: (/I ~ L\4-r'
RECEIVED B~7j \J l~./ .
SP ~~-I
3. COMPLETE FEE SCHEDULE BELOV
{(
.'
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
,
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less \ $ 50.00 ill
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 "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service~
or Feeder Permi t r4,~) $
2.oo4lo
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 OP ABOVE 9h, ",,0
5% State Surcharge ,-/, ?f7c>
TOTAL -!/)/}. ~D