HomeMy WebLinkAboutPermit Electrical 1992-9-15 (2)
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225 FIFTII STREET , "su"rriiil~Cl,~~~!~~t;'jRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 \\ov,\nn plol,OI,~:qu"COpoo','c LA II -, r<>,
INSPECTION REQUEST: 726-376P~~i~;, ,,~d '~~OS nO, ,0' City Job Number ----1.LLZ-XX
OFFICE: 726-3759 .pp,od, M Q~_
Zon:"S-J;""3~"""COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION l?-, \ \sl~.a- ____
1\\ OG..KO.c:,'t=> 00\9.-- 'IJt.~-Re-stoential-Single or
AuthOriZe"'''''''''''' -' Multi-Family per d\lelling uni t.
LEGAL DESCRIPTION 6 Service Included:
IID3 Z..2I-t),OOO 2- Items Cost Sum
JOB DESCRIP:J;ION
If? ,lAV\ \\-,
Permits are non-transferable and expire
if \lork is not started \lithin 1BO days
of issuance or if \lork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ?O~ FJec\-~c
Address J.iOI A)l..) 7~1-'v\ _,&
Ci ty ,VCtV\(c)lI...\Je>V" Pho7f:'t:;j/--UJ9<<;
Supervisor License Number 2. CfOcr -.:.S
Expiration Date \0- \ - qz.-
Constr Contr. Number 1--1 ~ b I ~
Expiration Date )f--I,' 2-j-cr3
Signature of Supervising Electrician
~ 1.1~~
o\lne~s Narrie_1J/lh~J111'JvfllLutJOl1tS D.
Address 7U 0 a),Ld(J !In
City SpffJ Phon:Z14 -'tyotJ
OVNER INSTALLATION
The -installation is being made on
property I o\ln \lhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~-----q-~T~~~-~-------------
RECEIPT #: (0 J 74 _
RECEIVED BY: I!~
v
.'
1000 sq. fto or less \C]{
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular D\lelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Reloca t ion: -
$ 85.00 '07D
$ 15.00
$ 40.00
200 amps or less $ 50.00
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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
Ne\l, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or \lith 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 $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
!{;30 .60
"I~' fJ7)
.J 0 if -'3)