HomeMy WebLinkAboutPermit Electrical 1992-6-29
'rhe f.,,,owing proje<..i e. submittedr.2s :ha following ~
zorllng, and doos not require Gpecific land use . ..
225 FIFTH STREET opproval. ELECTRICAL PERMIT APPUCATION
SPRINGFIELD, OREGON 97477 'Zcninp c.c (] f\("'\(/Cc,
INSPECTION REQUEST: 726-3769 (,I I. Ci ty Job Number -I ~ ) D D . I
OFFICE: 726-3759 Date::l"l t);).
Aulhonzoo Sign,t",,, ~3.
1. LOCA. TION OF INSTALLAT10N (')
j):};n IYJAII..) - J..}EgS tl\BSr, A.
~~~~ . () Iq()()
I J JOB DESCRIPTION
HhAr pt(~p 1 ~II: }/A#.Ji)/~.r.
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-
Electrical C!lntractor:fflrgjcj(.'5 GLECr.
Address IDfo\? W-t:$T Z-ND ME:-/JU5
Cityeu6r?/l1E.. Phone ~-1'iLj2-
Supervisor License Number 27/6 S
Expiration Date /V - I -q 7~
Constr Contr. Number ?~(P ~7 7
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It e.ms
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
. Servfce 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 A.
if(
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40;00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
1-/ - 1'3 - Cf3
S~~~
Owners Name, R.:\ (\ ~~ lili \\rL -
Address
Ci ty
Phone
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~~---[L?~~~~~~~J------------
RECEIPT I: . A -. .Ir):---"ll\ 0
RECEIVED BY: ~(J.Y) )
~ .
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
- D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
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 Ci.rcui t . !
Each Addi tional
Circuit or with Service
or Feeder. Permit
E.
5. SuBTOTAL OF ABOVE
5X'State Surcharge
TOTAL
$ 35.00 5S ,.,:0
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
35.qQ..
_ /,75
7$3b,75
{