HomeMy WebLinkAboutPermit Electrical 1992-3-17
:st'JIIN~FIELO
~
225 FIFTH STREET a~'-~' .,';',~'~.orOI:~"" ELECTRICAL P'ERHITAPPLICATION
SPRINGFIELD, OREGON 97477 ......;...1. ,",l.1oes';~:C1SSl!brn' a 7,,",':2..Q C{.O/)/ll\C
INSPECTION REQUEST: 726-376920' '(),reqLJires~":~~e3t,., City Job Number ~ '--' I~ ~ \LL
OFFICE: 726-3759 !'..:::~nmg 10. j C JC1an\Je:;::..':'i)
';q"-Jtl. ,.-- '.n?e1. COMPLETE FEE SCHEDULE BELO\1
1. LOCATION OF ;rNS~ALLAT:mtl~~ ::-{~L---
Lf IlL{ '1)lltt<t. QeA. e-- l:\J QA;\ ~'-- A. New Residential-Single or
) Multi-Family per dwelling unit.
LEGAL DESCRIPTION ~vice Included:
l 'i 07- ? z..--33 - OZ-Lf II "~ Items Cost Sum
-lOB DESCRIPTION
fAoZiA Z- (; V"ClG~~' (5 C{.vC~ c;;~" adJJil'?Jv])
Permits are non-transferable and: expire
if work is not started within 180. days
of issuance or if work is suspended for
180. days.
10.0.0. sq.ft., or less
Each additional 50.0.
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.0.0.
$ 15.0.0.
$ 40..0.0.
2. --CONTRACTOR INSTALLATION,ONLY-,- ,B.,-Services or Feeders.
. . . . "." 'Installation, Alteratio~s or
Electrical Contra~~,~rJ.eui<?-""~>rr-:e.eE7~C_~~locat.i<?n: >,. _, "
Add ress . 53?...:: L-i ....~Cl i.... .
C i t Y t '..c, [^tv /:.-:
Phone !l.i./ tI~)-c30 I
Supervisor License Number ~?? S
"Expiration Date
/0 - f ,-1 L-"
Constr Contr. Number /0 i'd i
Expiration Date /7- -)-?'- 1''L-
Signature of Supe~isingElectrician
;V.u--- ~/JL
Owners Name .B~~(l I:rAf:'ol:'f'~
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE: 3--( 7 Jf 'Z-
RECEIPT #: If-C5D7
RECEIVED BY: CL V\...~
20.0. amps or less '
20.1 amps to 40.0. amps
40.1 amps to 60.0. amps
60.1 amps to 10.0.0. amps
Over 10.0.0. amps/volts
Reconnect Only
$ 50..0.0.
$ 60..0.0.
$10.0..0.0.
$130..0.0.
$30.0..0.0.
$ 40..0.0.
C. Temporary Services or Feeders
Installation, Alteration or Relocation
20.0. amps or less
20.1 amps to 40.0. amps
Over 40.1 to 60.0. amps
Over 60.0. amps ~r 10.0.0. volts
$ 40..0.0.
$ 55.0.0.
$ 80..0.0.
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit.
$ 35. CO 3S-6D
$ 2.00Z.C5D
E. Miscellaneous (Service/feeder not included)
-Each installatiori
Pump or irrigation $ 40..0.0.
Sign/Outline Lighting $ 40..0.0.
Limited Energy/Res $20..0.0.
Limited Energy/Comm $ 36.0.0.
13.W.o, p 37 .c:Y.:)
S. SUBTOTAL OF ABOVE 37 . uu
5% S tate Surcharge \ . gj::J
TOTAL 7 r:] -~0