HomeMy WebLinkAboutPermit Electrical 1992-12-14
200 amps or less
201 amps to 400 amps
Signature Of;Euperv sing Electrician Over 401 to 600 amps
~J Over 600 amps or 1000
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~- . \ \-b~l'k-nr. !>. . Branch Ci rcui ts
o rs Name h.Of\ffi 0 . \ <AU 1 L\...)U'~
Address \.,Q\ 8; S~Dti~.s 6~ New, Alteration or
City ~ Phone141-rl3Sl
OVNER INSTALLATION
225 FIITH STREET . ,'prova!.
SPRINGFIELD, OREGON 97477 Zonino L D lC
INSPECTION REQUEST: 726-3769 \:1. ~1Ll~ot'"\
OFFICE: 726-3759 D~e I~
Authorized Signature S<; 3.
11 LOg.TIOli OF :rp;;~LLAT~~
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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. ~/~., . h€Z7.
Address ~~~~, ~~\1 C\~t
- --
Ci ty Y J. )~ 1'\ 0 Phone 41. n \ - ()'2\QJ "
supe~visor ~icense Number .?l\-~ -
\D. \ .0.:\
~9jVl f)
Expiration Date
Constr Contr. Number
Expiration Date \. \0 .C\~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~----l~-;~r-~~~:/-----~------
RECEIPT II: '\- /J. '\ " 'I DnJ)
RECEIVED BY: (--2j-I~
S..IIINGt'=IELD
City Job Number...
COMPLETE FE~ SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Extension Per Panel
.nc::::::. O. 0
$ 35.00 ...") ~
\
One Ci.rcui t
Each Add it 10nal
Circuit or with Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$
$
$
$
'-~ ~ pO
i f~"5
-.3 (,,: '
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL