HomeMy WebLinkAboutPermit Electrical 1991-5-28
225 PIPTU STREET
SPRINGFIELD, OREGON 97477
',INSPECrION REQUEST: ,726-3769
OPFICE: ,'726-3759
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"i'f()~BS~YrI~N~, nr-;300
OA _ oJ- (l J7fU{.) "
Permits are ~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACfOR INSTALLATION ONLY " B.
Electrical contractor~~~~~
Address ~')S ILl--&1P dc/#--' ,
, ,CitY~OPhOne (1<1c).- 170
Supervisor License Number (}4<;:- ,C::;
/0 Jq/
'Constr Contr. Number ~f?- /)X'{) e
LPo'~'
)O/9Ll a/fJ. q/
Expiration Date
',Expiration Date
,Signature 'of Supervising,Electrician
~'~ '
'.,', ',", , ,v: ,'," <------ ",
, Owners Name r::::I;)(!/z(Jt J;..{lJ1.. )
Address~-'jqq if 'TR.Yn,{'
. C~ty~?0 n.i;JJLPho~e (of\V9Ms,
OVNER IQSTALLATION '
The 'installation is being, made on
property I own which is ,not,intended
'for' sale; lease or ,ren t .
OWners Signature:
DATE: _ ...~. ~}3:q\
, RE\#lSu.... .: ~ I JllOU
RECEIVED BY: qlJ1A->
,
ELECTRICAL PERHIT APPLICATION'
Ci ty Job Number "q I 05S,6
" ,
, "
3. COHPLETE PEE SCOEDULE DELOV "', ,,*,,,, ,,','
A. New Residential-Single or ' '
, Hu1 ti-Family per dwelling unit., '",
Service Included:, , ' ., '
Items Cost Sum
1500 sq;ft. or less
Each additional 500,'
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling "
Service or Feeder ~
$ 85.00
'$ 15.00,
$35.002fJ
, ,
Services or Feeders (10 Branch Circu'its
'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
$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 $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps'S 80.00
Over 600 amps or 1000 volts see "B" 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; Miscellaneous (Service/feeder not included)
-Each 'installation
Pump or irrigation
Sign/Outline Lighting
, Signal Ci rcui t. or
limited energy, panel
$ 36.00
,$ 36.00 '
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
'1\\).09
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