HomeMy WebLinkAboutPermit Electrical 1992-9-15
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225 FIITO STREET '. sUbrnilloil'.r.~~eod u.eELECTRICAL P'ERHIT APPLICATION
RE 97477 ,olccI 0 . 6 speCI z:&r
SPRINGFIELD, 0 GON ':\\ - 10\\0'//I09 P .. ooll6qUI< , - q r
INSPECfION REQUEST: 72~_v~i7\69nd doJ. . ^" lL Ci ty Job Number 4:l:;i---o,' J - I
OFFICE: 726-3759 ,^,r:opl~'I(\1. IY--\}..)J~
7of,,09- -;Jd- 3. COHPLETE FEE SCHEDULE BELOV
1. L~IfON (J~J~~~-q~::J::c_~~~ial-Single or
!\\J\no<\z.'-' ,., Mul ti-Family per dwelling uni t. '.
LEGAL DESCRIPTION Service Included:
1'7 n ~ /_/ AI -=) 1'1:")~J:J7 _ Items Cost Sum
JOB DErPTI0
lY\ 4-1-11-. - V J
, ,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
J r1vw-....
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACfOR INSTALLATION ONLY
Electrical contractorilJ) (1)t.-' Cu:Jy
, \j
Address I/:ib" JJ.r..J, /(f1! Jl.c:l'i!"
Ci ty JkOIl-UV~ ..JA Phone za", s)?,.N9:.--
.</A,~"fl.B5" . .
~~~er.ls8r Llcense Number)fl'/.r~;r.zr=
Expira.tion Date /0 -1- 93
Constr Contr. Number 78(.,-87
Services or Feeders
Installation, Alterations or
Relocation:
B.
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date Il-Z'" '7;>_
C(l;r ~_ L:<- -1l 37- ;>b3CL- e
Signature of Supervlsing
O~
C::s Name ~j~ MearlaNsD.
Address U llcd~-- do j 0 .
Ci ty ~I) -fl dJ Phone Z--7'-i ---9'f6b
OVNER INSTALLATION
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 "8" above
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
The -installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or i rriga t ion $ 40.00
Sign/Outline Lightin. $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm ~ $ 36.00 ~
5. SUBTOTAL OF ABOVE '?t. ~
5% State Surcharge I?~
TOTAL v7,~O
Owners Signature:
-----------r:------------~--------------
DATE: '11 '?-.:-7Z:-"
RECEIPT 1I: In I Y: ~ I
RECEIVED BY: j~__