HomeMy WebLinkAboutPermit Electrical 1992-6-18
~""INl.i.I'll:.LU '.'
_ submitted l\llII the foil n
The following proJectt 8~UI19 specific land uee
loning. and dO~5 nO r
225 FIITH STREET aI
SPRINGFIELD, OREGON 9'I}?W . MOQ...-
INSPECTION REQUEST: 726_3~\ng.
OFFICE: 726-3759 -Dele "'11~1,>>_
, - bod:ed S1gnafure~,
1. LOCATION OF INsTAL-tl\\nUN
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LEGAL DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Prnft Ehc!AJ'(o)~ ,
Address Yo1 4)Uj '7ft;i.~
City{)~u". /,JrYl Phoned<:l"-s7\f-(g~~
Supervisor
License Number .;) 90'1-S
( nO I ...q Il
Expiration Date
Constr Contr. Number
L/t,f..'71J
Expiration Date
() ~/01 /q,;?
Signature of Supervising Electrician
y) L...d<'1-M
City Job Number
q II Z2~
~
eo"t""'lt. I't.E SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Sum
Cost
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
$ 15.00
$ 40.00
B.
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
$ 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
~<6D
$ 40.00
$ 55.00
$ 80.00
see n8"
above
D. Branch Circuits
Owners Nameff)G//,;,~t'R f17.,~.fL,-.7'~
~O US ~a~~-n. New, Alteration or Extension Per Panel
Address III S:I1) ,<;JJ;> ,,-,,--
f) One Circui t $ 35.00
Ci tyll'lII7#rij (h _ Q7.;l:lLPhone Each Addi tiona1
. Circuit or with Service
OIlNER INSTALLATION or Feeder Permit $ 2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~----1c()-~\~~~~---~~-----
RECEIPT #: L 4-,,,,,... (l.:.--.,lJf /
RECEIVED BY: \-011 A/tl ./
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 ,.()Pf).0J
5% State Surcharge t"1'UU_,
TOTAL ,.!.,)''14.PV