HomeMy WebLinkAboutPermit Electrical 1992-6-19
SI~fIINGFI~LD
!h.,. fOllqwlng pro oct aa~U;tittad has t~u"""-
....ofllr'g, ana does not r peQtbc~ . ....-n..'V.
225 FIITH STREET approval, , sa
SPRINGFIELD, OREGON 9741cil,ing c.c. fi7 2'> /)1,4-1'<'/
INSPECTION REQUES'I(j,.le 726-~76?t\ tl'" "
OFFICE: 726-3759 .... J
Authorized Slgr.e.ture ,(d'(2,
1. LO~TION OF INS'I/iLLATION-..
611?~")' \...\~\a . ~\I/C::>O\
\ 'l 0: DESCRIPTION
l) 5~ l\ \ (}~CY'1
0", JOB "DESCRIPTION
(-1....~\ \\Cp .q, ('\f)('(._ ~~
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 INSTALLATION ONLY B.
Electrical Contractor ),,0118/) Z(1ft::!-
Address ptj 2-rC, 'f 7 l( () 2-
Ci ty '7 e;, t?/on/If' Phone b 9t- ~b"l--
Supervisor License Number <S"O S. f
Expiration Date
Constr Contr. Number
Expiration Date
~:t1;r~zz;
V' ...../ "//
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~--~;:-:-\-C{--:\:\~-------------
RECEIPT Ii: \.1) ~ \ C\,")
RECEIVED BY: ~ \'\ I.( ---.......
\....."\ L ~
3.
COMPLETE FEE SCHEDULE BELOV ~
New Residential-Single or
Multi-Family per dwelling unit..
Service Included:
Items Cost Sum
A.
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
'>0 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 volts
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circui t or wi th Servi:.i~ l \cfB
or Feeder Permi t J!I!ZL $ 2.90 1-:.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t i neluded)
5.
$ 40.00
$ 40,00
$ 20,00
$ 36,00
Co l\, CO
'1 , ',J;,U
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
61,~