HomeMy WebLinkAboutPermit Electrical 1991-2-22
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ELECTRICAL PBIUl1T APPLICATION
City'JOb Number~""~( )
3, . COMPLETE J?EE SCBEDtq.E BELOV. . *. .
A. New Residential-Single or '. .
Multi-Family per dwelling unit,
Service Included: .
. Items Cost Sum
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: : 726-3769
. 'OFFICE: 726-3759
1, LC?CATION OF INSTALLATION A
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LEG. AL DESCRIPTION 11p'3 Q 1c94
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I
JOB QESqu;PTION '1' fl A-. . .
'fn.ob. ~ D t-\~ JI.O.O..N-U
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 contraetor.H~ 7.U"
~ 5"S:- W, dtf~
Address
Ci ty J$,1..uf.t..<-(1
I
Supervisor License Number
.1'-1 '-/-1 ~a1J
Phone
Expiration Date
Constr Contr. Number
. q!J...~~
10-0/
. Expiration Date
,;lD-,;) f(Oc..
[0-'7/
Signature of Supervising Electrician
~~~ 7Y~-0-
1
, . u\"! INSTALLATION .
Name~!0t\~)J{) (\ . .
Addre:s \\Q.C\ c\ -c 1 r(yV .
City_91)q~nO_~hone 1/X~{y{itD
The installat~on is being made on ' E.
property I own whieh is not intended
for sale, lease or rent.
Owners Signature~ I ,. )
?rM o..t.J2. t('~
,
..-------------
DATE: cf)7J!J~C? {
RECEIPT I: C./J .. 14 ~-S / -i
RECEIVED BY: (_ /1 I I~ _ "
1500 sq.ft. or less $ 85,00
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder . ...J-.- '.$ 35.00
10
B.
Services or Feeders (10 Branch CircuiXs
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
Reconnect Only'
200 amps 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or, 1000 volts
D, Branch Circuits
$ 35,00
$ 60,00
$ 80;00
$130.00
$300.00
$ 35,00
$ 35.00
$ 40.00
$ 80,00
see.uBu
above
"
C. Temporary Services or, Feeders .'
. Installation, .Alteration or Relocation
New; Alteration or Extension Per Panel
One Cireui t '.
Two to ten Circuits
Each Mdt'l ten or'
portion thereof
-
3~
-L
$ 35,00
$ 50.00
. $ 15.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lightin~
Signal :Circui t or'. , .
limited 'energy panel
, 5;
SUBTOTAL OF ABOVE
5% State Surcharge.
TOTAL
$ 36,:00
$ 36.00
$ 36,00
lOS;,
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