HomeMy WebLinkAboutPermit Electrical 1992-7-15
S..IIINGr-IELU
~e. fol ing project eo .ubmltlep ~., the following ~,
225 FIITH STREET ~~';~~ei.nd dOGD not require .pocmc lend ~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 1--rYJ n ArYl / _(
INSPECTION REQUEST: 726-37691zon;nn /1/1'-- City Job Number ~ldLJILV
OFFICE: 726-3759 Detu__ ...., fi btV
1. L OF TA ~ut~~~lgnature (AAA~MPLETE FEE SCHEDULE BELOV
~~D~ill(}U A. New Residential-Single or
-6 Multi-Family per dwelling unit.
\~~~~ c-)~~\.~ Service Included: Items ~ost Sum
I . ~OB DES~PTIO"
~ )\ \ 0 \.\1\ 0 r,. T 0l..LiJlO _
Permits are non-transAerable Jnd elplre
if work is not started within 180 ( s
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electric~l Contractor (\ * S ~f
AddressDrl ~- ~~~
City CXf;Qrt ~ Phon;141-~2)( f)
supervis\r~icense Number _' 1(J~1~
Expiration Date ~['). \.q '). J
Constr Contr. Number (:)~~C1
Expiration Date q. \. q0J
Signature of Supervising Electrician
(2~~-7~r D.
Owners Nani~_~L(\~r\ ~(l_1 t;!J)
Address qf) to \\~ i lD
City SflCLOL'Phonel4b lR7
OVNER ~N~TALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
'~AT;~---1l-.-r3~q{j -~:-=-=:------
RECEIPT I: (D _ _ ~~
RECEIVED BY: (_ ~1..4JA..::::_)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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 volts
Branch Circuits
$ 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 Additional
Circuit or with Service
or Feeder Permit /
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 .?J~
$ 2.00 ~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
{3 r; (X)
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