HomeMy WebLinkAboutPermit Electrical 1992-3-25
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225 FIFTH STREET efifJiP'ieL ~7~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlna 'Iv 11 (\ '" 1./lD.
INSPECTION REQUEST: 726-37~9 "'1 (j c... hi: Ci ty Job Number '\ d. ( ) \Ie)
OFFICE: 726-3759 ),~, ,}'0\0'''/ -
Aulh~Slgnalure 3[MOKPLETE FEE SCHEDULE BELOI/
1. LOB~NA O.x ~A.AkLA'];.I<lN lI. ) .
.~L1~ \, ~ ~ ,~ A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Il~~~IONunty)
. .
~DES~){(llt L-LLlj'))
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 INST~IfION ONLY B.
Electrical Contrac~o~Ltt1Jl.s f'~
Address PO \t1){J) A
City ~~ rJLL. ~hone.=r!Lh- 1~C:O
/i?J575
\ (), \ ' q~
Constr Contr. Number <95\tJl
\C). s,q Jj ~
Supervisor License Number
Expiration Date
Expiration Date
"
Signature of Supervising Electrician
"$~ ~\~ -
ownersL~a~e l). G (0 htLN\ )
Address oQ4:4 \'(Y\-~
City ~O~Phone "l41o-otI7
O~ iNSiALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---~ -'"JI&' -------------
DATE: C) .0l';S-
RECEIPT II: qU ,
RECEIVED BY: ~l JV\, 'i"\~)
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
Circuit or with Service
or Feeder Permit --+-- $ 2.00
0)
c1
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
,< Limited Energy /Comm
E.
not included)
5.
$
$
$
$
~f). rJO
I . ('?C)
'8 p,-~"L
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL