HomeMy WebLinkAboutPermit Electrical 1992-10-26
.
225 FIITH STREET J"ello!loW:1I9!m\}~OIIQUbmll\a\'lOOEM~L HIT APPLICATICN ~/'\./
SPRINGFIELD, OREGON 974 77 .~~r~~~T.nd dnc3 not roqulro ~IH\ll6tWJ L.\aii q (\ \i. /) 7
INSPECTION REQUEST: 726-3769 1\' City Job Number tx 1')
OFFICE: 726-3759 Zonlnp <::i1
Data to - ,)6..lf13. COHPLETE FEE SCDEDULE BELOV
1. LOCATION OF INSTALLATIONAutho"'~Signature ')<. .
~~ ~ Ol. </I-H'J--I-L.- - tA':/f<;;, -.\.) L.: ?eSl.1.,nti ~] -Single or
Multi-Family per dwelling unit.
Service Included:
-L7M~~ON O/q;;f/-
JOB DESCRIPTION e"""-l..€'r' ~....~.J 1000 sq. ft. or less
/I>D.d 'P4"JL- CI/In.X:e . tjAteq&JV/(.:rs Each addi tional 500
~.o <.oJ&Rr~rz; CN-tzE.1/.'~c 6....~..~ sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf' d Ilome or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ?~~G..s ~,
Add ress //)~ 9: ,..:J. z..,..rp
Phone '!,l/ "3- '7f.{cf'L:-
OZ''1/'5S
/0/' /15
Constr Contr. Number "''3^ !'17C'1;b1J'If'
In/- /93 ~/;~/q7
Si7:J~ Ele'l
_ ~,~~/i__ '\ D.
Owners Nanie Eli>r.>WJ ~ Loll:: /jwl'\l'f~1>JV
Address Q07CfO Ikw rJ.-p$i.:>
City-5,PVtJ) q~Phone.
Ci ty_ ~c,f?J~
Supervisor License Number
Expiration Date
Expiration Date
OVNER INSTALLATION
The 'installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-,'----------n-7[)~-'9.3--q-~'
RECEIPT ft:( 1/', 'mltt e
RECEIVE~~qtO(L
Items
B.
Services or Feeders
Installation, Alterations or
Relocation:
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
200 amps or less , $ 50.00 X>~
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 S300.00
Reconnect Only $ 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
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t ? $' 2.00 fer::::--
Miscellaneous (Service/feeder
-Each installation
Pump or. irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
tc~
~~
(,'1,~