HomeMy WebLinkAboutPermit Electrical 1996-9-6
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SpnINGt=IELO.,.
225 .FIFTll STREET
SpRINGFIELD, OREGON
rnSPECfION REQUEST:
OFFICE: 726-3759
zon;ng~
9747-7-:rJe~- {p.tj(j
72 '- 37/.. 9
'HU...~r",ed Signature ~/l
3. COHPLETE nE SCIIEDULE BELO\l
1." LOCATION OF INSTALLATION L~
(., ~ 7) c..L.t,I/~lb1-F r
LEGAL DESCRIPTION
-11b ~ ') ? Lf20 r.c ?/if)
JOB DESCRIPTION
t../lU NEt...! CAKJI-M c
- .. ~
Permi ts are' non-transferable and expi're
if york is not started' yithiri 180 days
'of issuance or if york is suspended for
'180 days.
2.
CONT1L~CfOR INSTALLATION ONLY
Electrical ContraCtor [,,11, IUolUZt~
Address 4-t?:,
City ~Pfo.
ELlj:':!
~IfE'-'- c-, <;:;'112,
Phone '7 47- orll
, Supervisor Licen.se Number <3 OVC:.- ~
/tJ-/-1k
Constr Contr. Number 019."3("
t,-R'~~)
Expiration Date
Expi'ration Da~e
su~::~~ectrician
I.~ ovners N e Mi Ii (J v ~t11
Addressjyy~, an-/h~ &L
City 6tlJ.wo,.', 'Phone ~'1C)-7qbo;
O~rnSTALLATION
The installatioh,is~beirig made on
'property ;r: Olln ,~hich is not intended'
for sale; 'lease ot' ~ent.
Ovn,ers Signature: , ,
." ",
DATE: "'-'i-If!";
RECEI~ ~: . 2'1,()iPI,
RECEIVED BY: t.V.
ELECTRICAL
Ci ty Job Number
A. Nell Residential-Single or
Hulti-Family per dllelling uni t.
Service Included:
Sum
Items Cost
<J76~
1000 sq,ft, or less $ 85.00
Each additional 500
sq. ft or portion ~
thereof,. \, $ 15.00
Each Hanuf"d Home or
Modular Dllelling
Service or Feeder $ 40.00
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
/36 a:!-
$ 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
or less
t<;> 400 amps
to '600 amps
amps,or 1000
D.' Branch Circuits
$ 40.00
$ 55.00
$80.00
volts"see "B"
above
Nell, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
pti~~ or {rrig~tion'
Sign/Ou tline 'Ligh dng
IAmi t,ed, Enetgy'/Res
Unii ted"Energy/Comm
.. ..
One Ci rcuit'
,Each Additional ,
, Circui,Cor Ilith Ser.'i'ice,
or' Feeder, 'Pe,r'mi t
E.
5,.
SUnTOTAL OP"ABOVE
5:4 'State ,Surch'arge
TOTAL ' .
':". ,',.,
+ ?:Ph 'Mm',{\ ~~
$ 35,00
$
2.00
not included)
$ 40.00
$ 40.00
,$20.00
$36;00
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