HomeMy WebLinkAboutPermit Electrical 1992-3-2 (2)
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. CO~CTOR INSTALLATION ONLY
.
B. .
Electrical Contractor~,.; lJv 1~.f#L
Address t:IJ ,;(r::.;c 1 'I \
Ci ty Wa.__H~\\\"'II-O Phone "71" -tfc)r.((
Supervisor License Number '5' ~ Cj t, 5
Expiration Date /c) - / - 77-
Constr Contr. Number .&':)00 ~
S"'IINc.;.r-II~LO
Items
1000 sq. ft. or less
Each additional 500
sq.ft or portion
thereof
Each Manuf'd Home or
~Dwelling
('Serv~e/or Feeder
,Cos t
Sum
$ 85.00
$ 15.00
/' $ 40.00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
Services or Feeders
Iristallation, Alterations or
Relocation:
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
. '
. jtted "as t . ~
. c\ toG s\lbm C,~C land use ~f
f i wlnQ prole eq'olira ape ., ' . ~#
225 FIFTH STREET ~~~\i;~~l>nddoesnotr .ELE~ICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 7.ppco'Ja\. l- Q (2., ~ . f) l10a IIA
INSPECTION REQUEST: 726-3769 1.ol'l\r\g- -.aa City Job Number V! 0 I
OFFICE: 726-3759~J....Jt1~ ~-. '~h... ~.., '
.. . t)Sta~ 3. ~ mm- SCHEDULE BELOV
1.. LOCAT,WN OF INSTALLATION . AU~ofiZed s\gna.tura_. .
53 ~ ~ Vit, 5~ ~r "5f',4-C.e.. <i(l" A. New Residential-Single or
i Mul ti":Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
. 'S~a..nH'C:.Q. ,,r ~L.\.~ ~~
\1t')~N (J1::a-).
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Expiration Date
s - 13~ '? '5
Signature of Supervising Electrician
yf'~a,"(t ;[
D.
Owners Nanie
Address
City
Phone
OVNER INSTALLATION
Owners Signature:
~AT;~-----~~/J~--q;F~--~~-__---
RECEIPT #: . , T'~~ 0'-'{
RECEIVED 8Y: .
-l,....o ,
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
$ 40.00
$ 55.00
$ BO.OO
see "B"
above
"
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
AJl 00 '
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