HomeMy WebLinkAboutPermit Electrical 1992-6-4
. _' . t<\o~~~~\l:1'..'\M fclfi/'. ~
225 FrITH STREET :;..n.?:2~:~~~U'3~;;~."'.r,i:iEdcTIuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477:'",';,.. \ f\
:::r:~~~A::::' .. ~1fg'ke:;~.=~ :~S19
7'2c> rL>\Aj~ A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
17-o~-3Y-?~. 069~ Items Cost Sum
,
JOB DESCRIPTION
/~/~ .fr?c~
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 B.
Electrical contractor\)\\..I. t"f\ ~&
Address4- S\AD CU \fu. (\D(
City ~.n 0--, Phone 144,()ln~
Supervisor License Number ~lo~::3 .
Expiration Date \ C), \.q ~
Constr Contr. Number \..n In ~ct\-
Expiration Date
~ .Q..3 .C\'92.
Signature of Supervising Electrician
~ ~
own:rJtme -~c- Y'~ #CZ~
,
Address 7?~ ,~~.h
Ci ty -5i>/"L-D . Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED. BY:
~-'I_'7'2
t-r9cr/
~._""-r.''''~
,rF -
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
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "8"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel.
One Circui t ......- $ 35.00 -..,< .".,:>
Each Additional
Circuit or with Service
or Feeder Permit ;::? $ 2.00 b,."-
..
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE C//. ~
5% State Surcharge -2.~:;'
TOTAL 'J" 3.~~ '