HomeMy WebLinkAboutPermit Electrical 1995-3-15
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225 r.Lor Jon STREET ,\,e ~~\ , eJ\o doe , r
SPRINGFIELD, OREGON 974Jt'f~~~~~\~\" L..-j;?!.~
INSPECTION REQUEST: 726-j769 ..,0\'\\\'\9.---- ,_~ .,")
OFFICE: 726-3759 . t.- ]..:;..,'>
" Ol\.tO______ -1.Je . COMPLETE 1'.r.~ SCHEDULE BELOV
1. LOCATION OF INSTALLATI~lko{\z.ed Si9\,\e; r
~ /?' L~,,47~~~~i!: A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/?...tt!:r~-2-'3-'3'/_ ~2~ Items Cost Sum
-/
JOB DESCRIPTION 1000sq.ft. or less $ 85.00
~;:'~ ,~f /~~~ Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started wi thin 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder $ 40.00
2., CONTRACTOR INSTALLATION ONLY
Electrical Contractor~""-=:$rb E2~L
Address R~~~....t"'27~S-
City ~~l!'&ii!Y~ Phone 6f5h..gb~
), '~Yel-.2
Supervisor License Number 3:2, <It) S
Expiration Date
Constr Contr. Number -::?B?~2
Expiration Date 12"-2/'9~
Signature of Supervising Electrician ,
~~~// . D.
Owners Name~~V?- l,~~~~~
'Address 4//C:;;- C/rP7J!f??~ 6
( . / ~
City L,;~y~ Phone ?y~-~~
~ fI':?- --T~ 7? ..
OVNER INS~LAT~N
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ' ;:3 v :5''' "7?
RECEIPT,~ t: ~ /~?
RECEIVED BY:: ~~"Ov
B.
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
201 amps
Over 401
Over 600
$ 40.00
$ 55.00
$ 80.00
see "B"
or less
to 400 amps
to 600 amps
amps or 1000 volts
above
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t ~ $ 35.00 r~
Each Additional
Circuit or with Service
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
5. SUBTOTAL OF ABOVE
54 State Surcharge,
TOTAL
'~
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1'-.?- . I. ~-5 -
r-~ /.//
1'-.9'