HomeMy WebLinkAboutPermit Electrical 1992-11-30
1 n9 ploiecl\~~~~ile ~pec"o1iC Ian "
1M 0 d does no
zoning"l an
225 FIFTH STREET approval. /' (' __
SPRINGFIELD, OREGON 97477 Zomn9~
INSPECfION REQUEST: 726-3769\'\r_~(') ()~r_ 9~ S
OFFICE: 726-3759 oa\e~ c:.;
1. )'2..C~T)IO~ ~..+~TJAL3f'udlt~O~\1.edOSjature-A J-:.. COMPLETE FEE SCHEDULE BELOV
t()( t I Y It' J I ~LQ New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
2. CONTRACfOR INSTA~' TION ONLY B. Services or Feeders
\ "36 Installation, Alterations or
Electrical Contractor Q Q Q) \J. _ Relocation:
Address ~ 1 \. Q- \ ()~ 200 amps or less
t:;' \ . () I I C' 201 amps to 400 amps
Ci ty U 'Uo 11 0 Phone Lo N--.,~IQ..) 401 amps to 600 amps
^ '21'\ '0'1\ 601 amps to 1000 amps
Supervisor IAIcense Number " )...J., (\,....-1- Over 1000 amps/vol ts
I D, \ ,q_c-- Reconnect Only
Expiration Date . ')
, e:2 I f'\ (1"') ~
Const~ Contr. Number ,') I )~ y,,)
(0 jJr;.q~
.~
1dD:'3~~~
O-J7CJ:)
LQJt+-o1\rtPT\O~ r\'\\\-\\\C\ ~~,lt
perm;ts are non-trans~ble and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
S~~'ltV~ctriCian
- / .. I Ll/
Owners Nanie \....C). { J[/\,
Address_f ()() ( bon it SL
Ci ty :S{lf).~Phone ~cJ & J '19::s
owJ IbjALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
f' .,_
~~~E~------\\~d~:~~-------
RECEIPT I: t(PJ~,~
RECEIVED B0, 'C'\ 1\ 0 , !'f1::.1
S'-'IINGr:'II;:LU
Ci ty JJl,b Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
C.
Items
"
Cost
$ 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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
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 Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
I
4....5
$ 35.00 \
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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