HomeMy WebLinkAboutPermit Electrical 1992-3-17
SP'lINGFIELD
~
225 FIITH STREET T~~ to!JowlnQ o~ ; ELECTRICAL P'ERMIT APPLICATION ro1D1
SPRINGFIELD, OREGON 9:JJlT;"f}. ~r.d ,j' . oJect "..$ slJbmitt d ~ . :' q
INSPECTION REQUEST: 9j~'C'!.~'769 oe3not.reqlJlresP:C/fjca~;::~OWIi(tity Job Number ~?ll r:;. . .
OFFICE: 726-3759 ZOning A A f\ JI} ~
o ~ 3 COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF, INS'tA~~/7, 92-'.
11-\ 7;.1 t>\;Uth~~~~atu'(t I" '. A. New Residential-Single or
~ ~ Multi-Family per dwelling unit.
LEGAL DESCRIPTION Se"Lv: .;...e Included:
"707- 32 '-?~ -0 Zy I 0 Items Cost Sum
JOB DESCRIPTION
fA r1ri L nvT LLl~ (5CLt,a '11. aJctnlvt)
Permits are non-transferable and: expire
if work is not started within 180 days
of issuance or if work is. suspended for
180 days.
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
. 2..-- CONTRACTOR. INSTALLATION ONLY._. . B... Services or. Feeders-
Vl Installation, Alterations or
Electrical Cor~ t~a~t.9.r l--[lJII'-/ ~/Ifr!fj.e.. !JR. Rel.oca tion:
'Address 5'32. L-fr-'CQ /,."
City CU(,/:.-r-tt:-
Phone
3i(t(t380 (
3 t./'9'J S
Supervisor License Number
Expiration Date /6 -(-9 2-
Constr ContI'. Number /6 1??1
Expiration Date
j ;)- - J 1- 9 J-
Signature of Supervising Electrician .
fu~ V Aid- .
Owners Nanie fiS/~ ,: Cl..l!ov--tflrS
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not i~tended'
for sale, lease or rent.
Owners Signature:
-----------------------~---------------
DATE: ~ -17 -'1--z-' .
. RECEIPT t: I-/-OO$?
RECEIVED BY: ().... vv"----""--
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 ~r 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.Branch Circuits
New, Alteration or Extension Per Panel
One Circuit I $ 35.00 30,(J;)
Each Additional
Circuit or with Service 2-..i1)
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
1).VJ,O,P 07 '. Do
5. SUBTOTAL OF ABOVE 37. c5b
5% State Surcharge J .~~
TOTAL f 4'. ~-0