HomeMy WebLinkAboutPermit Electrical 1992-12-14
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
opproval. (I
97477 Zoning (\....
726-3769.... _ P. '1- <lI "l
Date 'n-.' -~ ~
Authorized Signature_;) 5 1_
LOCATION OF INSTALLATION
5811/5809 Main St., Spfd., OR
\ ~~D3~rN ~Q-I)(Y)
JOB DESCRIPTION
Connect flood lites to existing circuit
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
SIGN
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor RAy-o-LITE SIGNS, INC.
Address 101 N. Seneca
Ci ty EugeBe
Phone 688-2500
Supervisor License Number m-/~
In . (. q3 -
Constr Contr. Number 2Q 166 CLS 1~O C,
1'CJ193 c:2. \ ,qS
Expiration Date
Expiration Date
Signature of su~ Electrician
~~\.l '
Owners Name \ \ D . ^ ~7'l:::lM
Address,~l~ ~
Ci ty ~ n Phone 147 -?;SS1
01lNER INSTALLATION
The installation is being made on'
property I own which is not intended
for sale, lease or rent.
City Job Number
rnuDI ""'~ :"JE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
1000 sq.ft..or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Cost
Sum
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
$ 85.00
$ 15.00
$ 40.00 .
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 "Bit
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 instal1ation
Pump or irrigation $ 40,00
Sign/Outline Lighting 1 $ 40.00 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
~A~;~;;=;[~~-rr~~~-~----~-~-------
RECEIPT: ..-/ . /7; ) I -IJ"
RECEIVED BY: ("-1yj}~) - ,
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
40.00
2.00
42.00