HomeMy WebLinkAboutPermit Electrical 1992-10-26
!i '. 'Jowl . tI~
4-Q1'iIng ar:?, pr~ as ~ . . 6
225 FIFTH . approv~i,' QO~notreqlb~~::~~'<!..ti;':2:;.t~WL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~~~ n. (\\1 fln
INSPECTION REQUEST: 726-37!~9 ~ I()Z"".... ~ " R. Ci ty Job Number '-'\rl. V I
OFFICE: 726-3759 ',",flte~qz:.
Authorkeg . 3. COMPLETE FEE SCHEDULE BELOY
1. rl-PG~~N 9.1\ ANST~LAROlt\ " ~g~Yre_.<1 ~ . .
rYn.~~ CT'X ~ ~ )( ~ Q ~ \ ~\ . 'K_( ~... A. -~~al-Single or
\-rtn~ ,W OC'Af1~ ~~;~i~:a~~~L~:~:dvel~:::sunit~ost
\ ~:~:l ~:~~~b~~2 :~~ ~;~:j!:H;~:;~:~~~
if work is not started within 180 days Each Manuf'd Home or
qf is~uance or if work is suspended for Mod~l~r Dwelling
180 days. . Service or Feeder
CONTRACTORINSTALI.ATION ONLY
Address.
/
City
~
Supervisor
Expiration
~
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less l
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only .
Sum
$ 85.00
$ 15; 00 .
$ 40.00
$ 50.00 oD
$ 60.00
$100.00._
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
of Supervising Electrician
-
own. ers Name \JJ \ .p ,\C\ \\ L~ ~.
Addres~~.&~?\ \. ~ qcipJI & ID
Cit~\~Phone ~l-EB~
O\lNd~TALLATION
The installation is being made on
pro~erty I own which is n 'ntended
I
for sale, lease or r nt /
~~ignafP:. _'.
---<1r/Ip/JJ/ ( .
~~~------~--~-77)-~~~--~71-~----
RECEIPT #:J //. it! 51~..
RECEIVED. Dr1f/~'
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
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
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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