HomeMy WebLinkAboutPermit Electrical 1992-3-27
S""ING'!IIlLU
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The. followln. projoct e. submitted has thlH&lMi!lJCAL PERMIT APPLICATION
97477 :~~~~~al'nd does not requir eeifie lend use .
726-3769 ' Ci ty Job Number 9/077/
Zon~
Date ,!,j.. . COMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATIAt~ /"j.A
~~5 O~K.D.A~ ZedS/gnature . U/Q N"" RElsidential-Single or
Multi-Family per dwelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
/ 'J-d3 -1..2 -fX)- 62"Z 17
JOB DESCRIPT.J. ON \b.'~
'TbY7P ~ /-IPr. 6P/'??P/
s ft. or less
addI ional 500
ft or portion
Permits are non-transferable a d eXPire~ thereof
if vork is not started within 1 days ~h Manuf'd Home or
of issuance or if vork is suspende or Modu:a~Dwelling
180 days. _ ~ept.K"e or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor (It7UR7t:5v CLEi:::T.e,C-
Address c,?CJO )../,E, 7';71+ 6-. SufT€ C/
Ci ty ~LA"'D ""7~~hone :;56-;::J<Io~
Supervisor License Number dl<f 7 :1
Expiration Date \0 . \ . q n )
Constr Contr. Number /9t/tR
-* Expiration Date {().fJ.(O' q~
*
Signature of Supervising Electrician
Owners Na~~ '1 f'tLf-\ ~ 0ff .
Address:~ 'ldf1\lC\ )
Ci ty ~rn. rt Phone '14' {
OI/NER I~S\lLLATION
The .installation is being made on
property I own which is not intended
for sal~, lease or r nt.
o er~~~~~ture:
-AT.-;~~~~;~~:~-fiJ5
RECEI PT I: t _ ---..
RECEIVED BY: C '_0CV
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
C.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
~,e
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 35.~
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
75'qg.
'?,75
,1$ 7'1;75