HomeMy WebLinkAboutPermit Electrical 1991-5-14
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ELECTRICAL PERHIT APPLICATION
City Job Number Q\rYt0'2-
3. . COHPLETE ~EE SCBEDIJ!.B BELOV ~
A. New Residential-Single, or
Hulti-Family per dwelling unit.
Service Included:
, Items Cost Sum
1500 sq.ft. or less $ 85..00 ..
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Hanuf'd Home or
Hodular Dwelling ..-,0
Service or Feeder ' .2::::;. '$35.00
B. Services or Feeders (10 Branch Circui!s
included). Installation" Alterations
or Relocation:
225 FIFTH STREET'
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: : 726-3769
. OPPICE: 726-3759
1. LOCATION OF INSTALLATION ".''''
, . C, '13, l-oc/llwePL ftt.r
\1' '/'Qo("\~ DESCRIPTION
, lA.hI' ~L\- ...-r A-)( U....d'1'
t'ttOV
JOB DESCRIPTION
mo'o~lo. ~.
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Permits are nonftransferable 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 contractorlIe^?1/' f~
Address <3>~::, uJ, ~ 40/ ,
. 'I
Ci ty tE I.-{~ Phone 344-1 ~oD
.
Supervisor License Number .J. t7 2 go (!,
Expiration Date /0 -.., 1- 92-
Constr Centro Number 20-2/(0 l!..//.. ~J37 c.
'Expiration Date Lc.:J.:.,::>f-'f2...-
Signature of Supervising Electrician
~~
Nam
/ (qq n Gl Jv1tJ.d2
'.. ~one 09:[( ,qjLgs
Address
City
,
The installa ion is being made on
property I own which is not intended
,
, for sale, leas.e or ren t.
Owners Signatur~:
~,
. ~A~;;-----~~\~- -,c:;n-- -
RECEIPT II:, ~ - r\~ 1
RECEIVED BY: ( I!) J
'-" .....--
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~
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'
....
$ 35.00
$ 60.00
$ 80;00
$130,'00
$300.00
$ 35.00
Temporary Services or Feeders '
Installation, Alteration or Rel~cation
200 amps'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 'or.l000 volts
D. Branch Circuits
$ 35.00'
$ 40.00
$ 80',00
see., "B" above
New; Alteration or Extension Per Panel
One Ci rcui t "
Two to ten Circuits
Each AcId t' 1 ten or',
po~tion thereof .
.
/
$ 35.00 ~
$ 50.00
$ 15.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lightin,
,Signal Circuit ,or' , , , .
limited 'energy panel
, 5;
SUBTOTAL OF ABOVE
5% State Surcharge '
TOTAL
$ 36.,00
$ 36.00
$ 36.00
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