HomeMy WebLinkAboutPermit Electrical 1992-4-10
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225 FIITH STREET ~;ing. en~g;Oj9Ct as sUb"" ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 97477 ,roV." 'nolr~ulre itrBdh,sth
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INSPECTION REQUEST: 726-3769 Zoning an~ j~b Number C( Z nc::-.l.J:J '-
OFFICE: 726-3759 {).,o., 4 ,-r-::-
. A ..~q~ PLETE FEE SCHEDULE BELOV ~
1. LOCATION ,9f INSTALLATI'1iN"ZGd Signature C
10 (0 Mtl.lIA 7t-, 'New Residential-Single or '.
mily per dwelling unit.
LEGAL DESCRIPTION Service Included:
/lO')?Jt7'Li I O~7L:D
JOB DESCRIPTION
S1/C, (' ,G" 0--,^.c,Y--
u
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 Contractor 13e-GI eC - W.
Address f 0 Bo'IJ -=i 7/
City P;/ W1JV~Phone (oJ?J7Z--ID
Supervisor License Number ~tf.0 2-.s
j(') - I -97/
Constr Contr. Number &G7 qq
to J-t /:1 Z,
I '
S;(t~:;Pjr&;lectrician
owner: Name ~ {('(j) rJ/~cP.'j+lb,.?ovjD.
Address l 0 (0 Ntl.~ ?St-
Ci ty Srf1 J Phone 4 'if '-13737
Expiration Date
Expiration Date
OIINER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-----------r--~?;-------~--------------
DATE: q-~D -I ~ '.
RECEIPT II: 4I7_q4
RECEIVED BY: - ~1/lJVo0L..,
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
,Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps I
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00 ~O~
$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
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t /, $ 2. 00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /7_ .0-"7::>
5% State Surcharge ?j. !nD
TOTAL -j~. i~o