HomeMy WebLinkAboutPermit Electrical 1992-12-14
. ;
Th '-. wing p .
zon~nd do rOJect as submitted has thq:;fp.1WmR,T
225 FIFTH STREET approv~1 es not require specific 'and1jse--~CA
SPRINGFIELD, OREGON 97477 .'
INSPECTION REQUEST: 726-3769 Zoning. (' (' Ci ty Job Number
OFFICE: 726-3759 O.te r;)~ Ill- If:>. .'
. 3.
1. If.OfA<;ION OF ,W;;"TI\LLAno~.:1 Signature_S<;,
\ 0 \0 LO ~,\\, ~ 1\ err, A.
I rt5^3~~~~'ON tJ2EYJ
~~PTION
Permits a~ non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contract.<Or M j5;; (~r;rf
Address ,G\/,O \ f\ Q.~"tt\ $t .
Ci ty ~l(t Phone14l- ?2\:3
9-ttfJ\S
~n. \.C{ ~
Constr Contr. Number \ Q. f'\,~ ~
S'<9~.G'5
Supervisor License Number
Expiration Date
Expiration Date
~~~ '":;<Vi"" ".0"'0'..
o"'n~rS(Name.Jjrv) l\'i ('-I'" m7~D.
/ Addres;( (Q ( 0 (n mill i1
City ~ Phone
O~\I~~LATION
The 'installation is being made on
pr6perty I ovn ",hich is not intended
for sale, lease or rent.
Ovners Signature:
--------Tr----7---cr.~.
/l --------------
DATE: ex' I. -'
. =
RECEIPT 11: (J . ..'1 ( ) l':l
RECEIVED BY: (:JJM'~
COMPLETE FEE SCHEDULE BELOV .
""".1<
Cos t Sum
Nev K~stdential-Single or
Multi-Family per d",elling
Service Included:
Items
1000 sq.ft. or less
Each addi t ional 500'
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B.
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see liB"
above
Nev, 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 Addi tional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ ~o.oo "f( ")
$ 20.00
$ 36.00
W:i
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