HomeMy WebLinkAboutPermit Electrical 1992-5-4
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759 lon~g
Oat~ _5.4 77
1. ~m ~~~~"'P'0::~
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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 B.
Electrical contractorY/a-h..,:.
Address ;:O~ (~.,L.. ~ <<j 0~1 :~__ ,~
City C'/--5- ~ V Phone <74LZ. z2-& [3
Supervisor License Number I f? 1- 5
Expiration Date t'/J.I/9" 2-
( / C.
Constr Contr. Number ~) -? )1
Expiration Date ~~~~~~
( r
Signature of Supervising Electrician
4J ~ //~~', .
, /- (/. .
Owners Name0\1~" f h\ OJ?~ D.
Address l4-q~\~~_~
Ci ty ? ~ _~() ~ Phone 4- <6=101J5
OYNER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~"'4,92
RECEIPT #: 41~ 5 ~ _
RECEIVED llY:~ --7),~ __.--.
~ '/-- --- -$- .~ ,
...
~New Residential-Single or
ulti-Family per dwelling unit.
--..;..
ServfC~ed:
Items Cost Sum
1000 sq. ft. or less I $ 85.00 95"
Each additional 500
sq. ft or portion
thereof _, $ 15.00 ~
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
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 "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Ser~ice/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Eriergy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
/60. .D
$~~
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