HomeMy WebLinkAboutPermit Electrical 1992-10-14
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'5'503 i~6 368\1 SPFD DE\', SER, ~
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ft,~ t"li0wing proj'ect as sU.bmitt~~iti~and use hIIliI.A",
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225 FIITII STREE'r ~ ,'. ,I. ~\?./ ELEctR~CAL P'ERHIT APPLICATION
SPRINGFIEI.D, OREGON 97477 Zonin ' J,
INSPECTION REOUEST: 726-~7,~9In, . City)bb Number q//.;;PP
OFFICE: 726-3759 ,.-LI
)l..c~horized Sign.MeL-I':,. l-uMI'I..ETE FEE SCfffiDULE BELOII
1. LOCATION OF INSTALLATION
'7/1 1);(; K flAt..6-
n. Services o.r Feeders
Installati,on, Alterations or
Electrical Contrac~or fV8,{hHS, Ln-}..-.sFt:.R,ycatio~:
Address /J?03 Altv. Ja'n-t I-hlc;- , 200 amps or less
I
201 amps to 400 amps
CitY~JJan{l;J.!J?, 'J. PhonedtJt,-51g";V1S 401 amps to 600 amps
LlItII're.:D 9,f0~5 _ _ _ 601 amps ~o 1000 amps
&l.peJ;.~ License Number ilL/q.-::LJU Over 1000 :amps/vol ts
Reconnec t :Only
Expiration Date JO-J-93
11113 ~.,
LP.GAL DESCRIPTION
/t7'/'J l' 22<t?,oQco;)....
JOB DESCRIPTION
.LMbJr/{)/,JAL. hRt7 tJ-l/,j(~41 -.=? ;;;i.L~s_
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days. I
2.
I
CONTRACTOR INSTALLATION ONLY
Constr Contr. Number
7KI:. -1{'7
Expiration Date /? -;)~---7~
Oi", tiC. iI31-5/:i3CLE -/0-/-;7,;)-
~ Sig~ture o~perv~ing Electrician
~ ~W/fr>,.
~ ovn:;-: ~me I -,
[:.J
.....
Lu Address
I:i-
""- Ci ty
':<
'yJ
\~ The -installation is being made on
V J property I ovn which is not intended
for sale. lease or rent.
'Phone
OYNER INSTALLATION
Owners Signature:
DATE:. 4'-/y~ ""~
ltECEIPT 11: C; '(7'-/
RECEIVED ny: //(~..
,of
A.
I
New Reside~tial-Single or
Multi-Family per dvelling
Service Included:
,
Cost
Sum
uni t.
Items
I
1000 sq.ft. or less
Each additional 500
sq. ft or: portion
thereof
Each Manuf.' d Home or
Modular Dvelling
Service o'r Feeder
$ 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
I
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ BO.OO
Over 600 ,mps or 1000 volts see "B" above
I
D. Branch Circuits
I
New, Alteration or Extension Per Panel
I
One Circuit S 35.00
Edch Addi'tional
,
Circuit or with Service
or Feeder Permit S 2.00
E. Miscellaneous (ServiceJfeeder not included)
-Each installation
Pump or ~rrigation $ 40.00
Sign/Ourrine Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm ,~ $ 36.00 /og~
5. Sl1BTOTAL OF ABOVE
5X State :Surcharge
TOTAL
I
/OB.~
-s;~
0$ //3. tJo