HomeMy WebLinkAboutPermit Electrical 1997-4-30
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a " :'I\{ell. 12 ELECTRICAL PERMIT APPLICATION
9~~~~~i~; 4:~~o~ ~- City Job NumberQ70 ~& 2-
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10 Ltpt~IOt j .INrrj~1Jrr;~~/{d .
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. 225 FIFTH STREET
S~RINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759 '
.
I
.JY6~'~~lffqO~ 2Cfo{)
4 JQB~~SCRIPTION
'~"UL~
Permits ate non-transferable and expire
if,~ork is not started within 180 days
of.issuance ot if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,D.
:Ele<<7tri<<7a1 Contractor-::fKb E.I~tTic,. \'10
,Uo", St re.e..--r
Phone /4- f.p-l/- 0 S' (p
Supervisor License NUmber ~I t.[~ S .
l D- I ;,. q 7 .
Constr Contr, Number 4-5\'2-'1
--+/2L-( JCf"1
Address 0\ ~)
City SpC: (d. '
Expha tion Da te
Explra tion Da te
. SignatUre' of Supervising Electrician
~,.,
, " ~..:, . , .
. Ownets 'Name]) {. C I.ac.)l' . lR D.
Addre~~_1 ~<~ <( 011 K UJ~j)ri(~
City.' eWln.t-Phone' (!.
O~R I~STALLATION
The instaliation is being made on
prop~rt~I owri whi~his not intende~
for s~lel lease or rent.
'Ovners Signah1re:
D^T~~~~~[)-~-~~---~~----------~
RECEIPT #: cJ.)...5~ i J. _ I.: J.
RECEtvE~ BY: /). / r }{)J;/1C! C{. .()
, A.
New Residential-Single or
Multi-Family per dwellin~ unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Horne. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less L~
201 amps to 400 amps
401 amps tb 600 amps
601 am~s to' 1000 amps
Over 1000 amps/volts
'Reconnect Only
$ 50.00 ).DOOO
$ 60.00
$100.00
$130.00
$300.00 .
$ 40..00
C.
Tempor~ry Services or Feeder~
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
,.
N~w, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Serv~f1
or Feeder Permit ~ $ 2.00
<g {)D
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.
10_<i .00
,/ U.tj u
~. I ~..2 Y
:..l d:. . IJ i:f
SUBTOTAL OF ABOVE
5% State Surchaige
3% Administrative Fee
TOTAL