HomeMy WebLinkAboutPermit Electrical 1991-4-30
225 FIFTH STREET
'SPRINGFIBLD, OREGON 97477
"INSPECTION REQUEST: ,726-3769'
OFFICE: ' '726-3759
, :1.
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LEGAL DESCRIPTION
~ JOB DESCRIPTION
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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. CONTRACIOR INSTALLATION ONLY
Electrical contractorfu 0 Clrrl..J '
Address "C\f\D~ ~\LSt''MDlS:&
City ~G~-<..,Phone C\4~ -3Iol2-
, Supervisor License Number ~!1.nK,""
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'Constr Contr. Number ~'X~ (n
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Expiration Date
,Expiration Date
Sign~, 'of Supervising,Electrician
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.owners Name' t=GJ\-t i)\ Q : ~ -
Addr~ss ,~ ~ ( , ro 0 1n1 i U'~.
City 'f'---l)~.eYlQ.Phone 4RS .,~/1 (p
,OVNER IN~ALLATION
The 'installation is being, made on
property I own which is not,intended
, for sale, lease or ren t ..
Owners Signature:
4"arJ,~ ( , _
, I t1 . 17ft..'! (J.
C ~lJ..)D~-":' -
DATE:
, RECEIPT I:
RECEIVED DY:
I
ELECTRICAL PERHIT APPLICATION
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3. COHPLETE PRE SCDEDULE BELOV
A. New Residential-Single or ,
, Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum'
1500 sq;ft. or less ( $ 85.00 '&s,
Each additional 500
sq. ft or portion 'J:) Pi)
thereof $ 15.00 '
Each Hanuf'd /lome or
Modular Dwelling,
Service or Feeder $ 35.00
B. Services or Feeders (10 Branch' Circuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601'amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only .
$ 35.00,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less f $ 35.00 I.~_S
201 amps to 400 amps, $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see nBn above
D. Branch Circuits
New, Alteration or'Extension Per Panel
One Circuit
, ,Two. to ten Circuits "
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$15.00
E~ Hiscellaneous (Service/feeder not included)'
-Each 'installation
Pump or irrigation,
Sign/Outline Lighting
, Signal Circui t or '
limited,energy, panel'
$ '36.00
$ 36.00
5.
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL