HomeMy WebLinkAboutPermit Electrical 1992-9-3
.
,
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INST~LATION
17 1/ 0 ~!LeI CLA-<l.
Ci ty Job Number q II Zf ~
3. COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
f'~GM. DES~PTION
I 10 :JZ...:Z-'-/?;; 6cv (.J ~
\ () N,,..j atAdoo sq. ft. or less
L-IV,S'-\1Y1 ') ()~ Each additional 500
\' - sq. ft or portion
Permits are non-transferable and expire thereof
if york is not started vithin 180 days Each Manuf'd Home or
of issuance or if york is suspended for Modular Dvelling
180 days. Service or Feeder
/ (~OB DESCIUPJ'ION ""t
), J J /7 1 ~7"r
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~f\'Cv- ,El-eNIt1c:..
Address l,f07 AHv 7 gt...... sf-
(20<,,)
City '\JC1.liIfl\1hiIQ_\',WA-Phone 574-I~lo}.-,
Supervisor Lice:se Number ~C(~~
Expiration Date / (), I, C/Q.-,
-Constr Contr. Number 4'told) 'X
Expiration Date ,tJ. f) . (,1"~~
Signature of Supervising Electrician
_~ ;('1_ ~v -f . .
ovners~Qf 0 Jf1h(J ffi.o~ ~
Addr~ ( II '-~( 1) ~'tr\ cA-rJ J )
Ci ty 01Y'l--:, Phone
OVNER INSTALLATION
The -installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
,
~~~E~-----------~~~-~~~------~
RECEIPT 1I:~J (\,n" ~f.,jLl-'(' )
RECEIVED DY~ LJ! ^ j
It ems
(0
uni t.
Cost
Sum
A~
$ 85.00
$ 15.00
$ 40.00
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
C.
(
~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 "Bit
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
no t i neluded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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