HomeMy WebLinkAboutPermit Electrical 1993-1-11
$. "I IIt.u.;.r: It;.LU
1 .:n':'~"i:1g j:':r:;""'-:t ":~ !"-ubr(l;"1~ h:~ the folk",~,'ki~t
z..!"uy, ar.d do:; I -vi ,'L..:jUI.;;; .....J....:.:.:.= lilnd use
Ctpproval.
225 FIFTH STREET l ()
SPRINGFIELD, OREGON 97477 Zonin~ n \<-.,
INSPECTION REQUEST: 7g9.o37691- LL -9~ .
OFFICE: 726-3759 . C-
. Authorized Signalure , ) ~ roltPII>'I'J> FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
/I JS-T'Of-.<Dcf'ZDSt'l-
.}
( '7(~D!JYJ~~~
113aJ
JOB DESCRIPTION
("'''A.~ V~IIc..,,<,- S""~,-: I~ >""t,,-,
/
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
fl1~1
Address IS-o t 9. <.r- I
Ci ty t:. ~"';"JL'-<'
Phone
~
e)
Supervisor License Number &5 Z. .3 u=:
Expiration Date
/I? ../ - q"
Constr Contr. Number
5""1q-/'-f
Expiration Date
0/-2.<;-7'>
Signature of Supervising Electrician
q2.p:ijf......J
Ovners Name /), /"".. ~ 7)",_..//7-/
Address
<) c:<.-~
City Phone
OVNER INSTALLATION
"The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
~)
Ovners Signature:
~~;~~-----;:~ -~-~-------------
RECEI PT 1I: <...:, Il ' J /'(.../;
RECEIVED DY(' llr J~
A. Nev Residential-Single or
Multi~Family per dvelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less"
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders.
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
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 $300.00
Reconnect Only $ 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 "D" .above
D.
Branch Circuits
Nev. Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hi scellaneous (Service/feeder not i ncl uded)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Li~hting $ 40.00
~ited Energy/R~ lc $ 20.00 -Zo,=
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
-
.!..)/OU