HomeMy WebLinkAboutPermit Electrical 1992-9-1 (2)
'l'olIO~'f
the tol\owlnll ~'
bTll~ttcd .~t\~ d \.lee .'-
225 FIFrH STREET 'ng proje.ot" ;:~I(e spec'!\C a{\ ELECTRICAL PERMIT APPUCATION~
SPRINGFIELD, OREGON 9747V'e.~~o:r.d'd9as "or:;'>... 7" . /)-, I 0
INSPEcrION REQUEST: 726;'J:~69\. ~ Ci ty Job Number V( d ,
OFFICE: 726-3759 zor.ing~~, . v
, f') \. ':11- 3. COMPLETE f.EE SCHEDULE BELOV
1. LOCATION OF INSTALLAT![ON~ 0
58 /0 ~I S'ir. ^"".oriledSignatur. A. New Residential-Single or
Multi-Family per dwelling unit.
';"\ LEGAL D~SCRIPTI?~/ Service Included:
1../04" Bn/lJd flAt< J!!iAS';. Items Cost
4<
Sum
;I~~AlMv~WM~' 1000 sq.ft. or less $ 85.00
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 Hanuf'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 AtsVJ ~~
Address ~:ZO~W' b,f{
Ci ty I31)G~i'r Phone t,rt -Z3(S'
Supervisor License Number ~~.2-~
Expiration Date bY; - / - 9-.2-
Constr Contr. Number 2ll-/~.sL
.
Expiration Date /if - / - <J'L
Sign~ of JU~E=riJi~g Electrician
/~J~ '
, ,
Owners Name /b.l jlc;,vd
Address 3 ~/6d# .#- m~
Ci ty ~ ~ PhonEi7 Zk -.3 'ZZ I
O~ INSTALLATION
The installation is being made on,
property I own which is not intended
for sale, lease or ren t.
Owners Signature:
DATE:
~ .
~.~. i. CJ 2-
(/lUll' ?? '
tl/ (p ~I!M...-
-
""',,"'.LrL If:
RECEIVED BY:
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 I
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"
tt> ,1>"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi t ional
,Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TO.TAL,
$ 35.00
$ 2.00
not included)
$
$
$
$
t/O. &0
"2. c-o
/.f:2.80
40.00
40.00
20.00
36.00