HomeMy WebLinkAboutPermit Electrical 1992-10-16
.J Tel/Owing project a ! + ~
Loning, and+does not i'~qSt )mllted. ~as the fol/owin ~
E:.,.;proval. ..: re specIfIC land uso "'}I
225 FIFrH STREET ~. (\(~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ':r\ngrt~ n f\ I(i\ -1d..
INSPECTION REQUEST: 726~3169l_~L~uL (/ City Job Number ~\rl)OI \ .
OFFICE: , 726-3759 Authorized S'n 1\ In' ~
l~nalL~e_{f1\')._C.oMPLETE FEE SCHEDULE BELOV .
1. LOCATION OF INSTALLATION . .
51iLn mAlA! ~r. A. New Residential-Single or ,
Multi-Family per dwelling unit.
LEGAl:. DES(jRIPTION Service Included:
pnAI J50AJd 11~iQ-St+ Items Cost Sum
rJl. JO~ DESCRIPTION ' 1000 sq. ft. or less $ 85.00
L1~t~Ala 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~~~~~
, ,
Address ~d-B J;... We.tJ.-. 10 rU..
Ci ty ~~ Phone C;;!S'(" -U'2.S.
p,
Supervisor License Number ~~~ -~
Expiration Date ./" ~/ - ?.3
Constr Contr. Number,aD -/'/-5 -C-
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
Expiration Date
/'0':- / - 9.3
S~~{JU;;trician
, /.
Owners Name ve/l/ .B~
,Address r.:;p~-.AjA,# ~~ '
,
Ci ty SPA/\ Phone 7,,26'7572../
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for 'sale, lease or rent.
Owners Signature:
DATE:_-~--------~-r(). {(r; '/~
RECEIu ,: \" _.~ '-/ fo4Cf7f'-
RECEIVED BY: t::.!.--,~ .I\n.. ) , 1
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 "B"
above
New, Alteration or Extension Per Panel'
E. , Miscellaneous (Serviceffeeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited EnergyfRes
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2.00
no t included)
$
$
$
/ $
310 (y) ,
. J h:'J
?l 'J' c;.-.; )
40.00
40.00
20.00
36.00
~