HomeMy WebLinkAboutPermit Electrical 1992-2-7
225 FIFTH STREET' ,
SPRINGFIELD, OREGON 97477 "~":$?
INSPECTION REQUEST: 726-3769.i'\ ~O\~\t2CtA~ Ci ty Job Number
OFFICE: 726-3759 \'r-e:o~;0006~
1.0(\\~~~i9-\' 3. COMPLETE SCHEDULE BELOV
1. , LOCATION OF INSTALJ!1'ifiON l.of\\~ \ ...
16(), (''::>,V7;;lIlldl C\.I).~ ew Resldentlal-Slngle or
~, 'O&\e~~' Multi-Family per dwelling uni t.
1?(jG~~~N n~() Service Included: Items Cost Sum
JOB DESCRIPTION ~ ,
f(-e.p/ ~~ e -1- tE.r/(S{/i1I~ l!c4-.(evs
, c-:1
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
Electrical Contractor L aA c 0
Address <Bff'1t)6;~t'_CLlel RdJ
....
CitYSft"/~?;e/afl Phone 72-'-'-9<11-7
Supervisor License Number j.R b - .>
. Expiration Date. Io/~~/ 9':E- ,
Constr Contr. Number C (B- i8"-=j'G 7
3/~/9z-
I I
Signature of Supervising Electrician
~A-A.I ~ ~
'~wner(Name CJ{Lf\ OlD ~tY1, JLO
Address 10(04 fj v{)/n Jfu
~ri /Phone
I \
OVNER INSTALLATION
Expiration Date
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED. BY:
;z"-7-72-
3 7o:;~
(~;
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
B.
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
C.
Temporary Servi.ces or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to, 400 amps
'\
Over 401 to ~OO amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel,
~<.{-l { t>... c.. e 1- f:-~;:;. r t~r~T eJ/~ ~. ::
One ~ircuit ~ $ 35.00 ~
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
Limi ted Energy/Comm ,$ 36;00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
~L" -
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