HomeMy WebLinkAboutPermit Electrical 1992-10-20
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lJ'e following :;>roJect as submilkd haC" thl;j~n't'H"'" .
225 FIITH STREET zoning. ond does not requi,e spcciiic m:,g ,', ICAL PERHIT APPLICATIOmN
SPRINGFIELD, OREGON 97477 approval. ~ fT'f\'T\r::<.1
INSPECfION REQUEST: 726-3769 zoning_~') Ci ty Job Number I (;Il JI.-J
.0FFlCE: 726-3759 1(\ l\lD 7'
Date-\.\d..:g.l _ ~ COHPLETE FEE SCHEDULE BELOV
1nIfTR1N ~1L~~fiitO"rt"Cltx"_,t~-INeW Res(de-nTial-Single or
Multi-Family per dwelling unit.
Service Included:
2. CONTRACfOR INSTALLATION ONLY B. Services or Feeders
('\ ,+; f'~ .L ~-I-A. ~nstallation, Alterations or
Electrical Contractor\ '.t1~.(\\ \l,~ J/M'1.J. 'J1~elocation:
Address~ llia~c\.' 2;0 amps or less 6
Ci t6 D\ (\+~ ~~ p~one 4- -n~ \9>(,() ~~i ::~: ~~ ~~~ ::~:
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
\\l)t~ONl'A~\n()
\ N\~B~'R~cQ1)/
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
S . . N' b f\f"l(\("'lf'
uperVlsor LIcense um er 9/0 It .f-..J
Expiration Date \CJ. \ .q~
'Constr Contr. Number .:\\O(')J.o~
q.C\ ,C\~
Expiration Date
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dwelling
Service or Feeder
'*
Cost
Sum
$ 85.00
$ 15,00
$ 40.00
$ 50.00 f)::D~
$ 60,00
$100.00 .f ()(j .cO
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see' "B" above
~ture of Supervising Elect:ici~
t. AAe4-_..~~
I \.\(\ ~;"'I'.~pJI1\ C\~. Branch Circuits
Owners Name ''''\:4.j~ \i( 1
r-~ C \ A'"'\ oJ\ ,..}!Aw Alteration or Extension Per Panel
Addalies n ~) 01JU\\\O,(') I'lCOQ {IdJ'
eit (f1J)00fyne lo~ ~~~hC~~~~~~onal
( Circuit or with,Service
OVNER INSTALLATIO l or Feeder Permi t ~ $
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~^~E~~---7Z:Y~~l):1:~~~-------------
RECEIPT II: \ ()'f--"H,'-1" J . A/'. ....
RECEIVED BY: \ _ ) ) (.J.M./
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 35.00
2.00 ~n~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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