HomeMy WebLinkAboutPermit Electrical 1996-4-3
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The following prcj . .....ulro apoclllo 1a"0 \lOQ
zoning. and dOCSjf]ffLna<....,
225 FIFTH STREET appro-al. ,ELECTRICAL
SPRING~IELD, OREGON 97477 Zoning
INSPECTION REQUEST: 726:"3769 I I ~!ift2 'City Job Number
OFFICE: 726-3759' D!ll.~ --~ JI--'1.._.
uth. rized Sl9nalUre~>:<, r ",n:UEDULE BE LOll
1. ~~~~ I~~I~ ) A. Nev Residential-Single or
. . \ - Hulti-Family per dvelling uni t.
\ ~~~~In~?' ")() Service Included: Items Cost
, -
~~~V~~00 / \\O.c:cr
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days,
I
2. CONTRACTOR INSTALLATION ONLY
Elec~rical Contractor JB Electric
Address 1786' Ba 1 boa Street
Ci ty EOoene
Phone 687 - 5770
Supervisor License Number --1aZ?S
Expiration Date 10_1_01:1
I "
Constr Contr. Number 84200:-'"
..
The installation is being made on
prnperty I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT, I:
RECEIVED BY:
-~J7i-j7,~---------------
., I '2b "'JJ""i'J
,(J?_\.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
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
I
A
Sum
~S
2i)
$ 85.00
$ 15.00
$ 40.00
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Expiration Date 6-22-96 200 amps or less
. ~ 201 amps to 400 amps
Signature of SUPt!;;,ing Electrician Over 401 to 600 amps
~ Over 600 amps or 1000 volts
,j ~
Ovners #mr: ~~ Und: ~Branch Circuits
Address \) I\~ I ~ ~'2)'- Nev, Alteratinn or Extension Per Panel
(\ \ ^ N .'(\, 1\ · AA A QZ1d) One Circuit $ 35.00
CitY~Qt; Phone ~ \~. {1 Each Additional
Circuit or vith Service
OVNER INSTALLATION or Feeder Permit
$
2.00
E. Hiscellaneous (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 \ \ Sex)
5% S ta te Surcharge 'c:; 1.<:'
TOTAL~~~
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