HomeMy WebLinkAboutPermit Electrical 1991-5-9
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ELECTRICAL PERKIT APPLICATION r)
Ci ty 'JOb Number UUD 4~ Q ,
3. . COHPLETE ~EE SCBEDUl-B BELOV
225 FInH STREET!
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: : 726-3769
" 'OPFICE: 726-3759
1. LOCATION OPhIN.STALLATIONI1 '
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LEGAL DESCRIPTION I '
lA-X 1.07' 'fa 2'0 0
A. New Residential-Single, or ,
Hulti-Family per dwelling unit.
Service Includedl
JOB DE~CRIl'T;tON
rn /? h, (p Idnf/.d.
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Permits are non-transferable and expire
if work is not started wi thin 180 days
of, issuance or if work is suspended for
, 1
180 days. '
2. CONTRACTOR INSTALLATION ONLY
El~ctrical Contractor, tJev.L1~ [GeL
Address gs~:' LV. ~ tl1'h '
City ~ / ~.-<-&' Phone 3 </Lj - /5D ()
Supervisor License Number do--.2% 0 (2..-
Expiration Date' /0- 3 {- ?a-
Constr contr. Number.20-J&i:.1 &,.3/37
, Expiration Dat~ 10- ~/ -'92---
Signature of Supervising Electrician
~~
, Items Cost
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion.
thereof $ 15.00
Each Manuf' d Home or .
Modular Dwelling , ,
Servic~, or Feeder, '2--- '$35.00
'10
B. 'Services or Feeders (10 Branch Circui.ts
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/vol ts ,
Reconnect Only'
$ 35.00
$ 60,00
$ 80;00
$130,'00
$300.00
$ 35.00
"-
C. Temporary Services or Feeders
Installation, ,Alteration or Rel?cation
Nam~ot:1/;;tJ;;AJ , ,
Addres~ ' j(qq n5~
City 'r:; 1 )r'~/ Phone~CI..lZ3
The ins~l;ati&h is being made on' E.
property I own:iwhich is not intended
f~r sale, leas~ or rent.
,
O~ignatUr,:: , ' ,
___~:cJlJ2 .:f2 ~q_ _ _______..:
,'DATE: 50 q . q-f- .-
RECEIPT I: ,,/I _C\l X J;J' } "
RECEIVED BY: (.'Q., I J X A' , ' s -
-,
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 '
$ 40.00
$ 80.00
see, "S" above
New; Alteration or Extension Per Panel
One Circuit '.
Two to ten Circuits
Each Md t'l ten or',
portion thereof '
.
--=>S;-
$ 35.00
$ 50;00
$ 15.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lightin~
,SignalCircui t ,or' , , , '
limited 'energy panel
, 5;
SUBTOTAL OF ABOVE
5% State Surcharge .
TOTAL
$ 36.,00
,$ 36.00
$ 36.00
.Jn~ 00 ' .'
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