HomeMy WebLinkAboutPermit Electrical 1992-6-29
~
~:'O"owing project S. '''bml ELECTRICAL PERKIT APPLICATION
. .g, and does - ~ lled 11" II!
approval. ,not requIre Sj).,"Cff'e:r'rH"? ft-';0"1n', /?. 2 07 CJ.~
Cl ty ~ob Number -/ 0..-/
201"'0
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
D,,.: 3. C E FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ;'(:"1011r"" ~
97CJ NANC L/ SIgnature v Residential-Single or
~ u tl~Famrly-per dvelling unit.
LEGAL DESCRIPTION Service Included:
J 7/J '<, 27 -:2.2- (d'ltJV Items Cost Sum
JOB DESCRIPTION 1000 sq.ft. or less $ 85.00
~!J) 2 00 A-..L!1/' ~E&.III(C: Each additional 500
sq. ft or portion
Permits are non-transferable andrexpire thereof $ 15.00
if vork is not started vi thin 180 days Each Manuf'd Home or
of issuance or if vork is suspended for Modular Dvelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractl?r Loft. /l'IotR/(, E/~J-..
Address 4e'5 s },JiE'LLey S Tie.
Ci ty__c, I" Po. Phone /47- og'1 (
Supervisor License Number ~ DD(~ S
Expiration Date I n/ I / q ')
Constr Contr. Number C?/l?31\
Expiration Date
~/~/92..
Signature of Supervising Electrician
-x'L ::;~~__
Ovners Nanie 11./11/,4,,,-,, LGet!P/F
Address 97""J 11/4/1/<:'4
(,
Ci ty SPP/J. Phone 747- all(..
OVNER INSTALLATION
The 'installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~:~-:~------~~~~~-~---------
RECEIVED BY: ,~~
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00 5D~
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
5c> O.Q..
'2- 5 C'
.5:;" GO