HomeMy WebLinkAboutPermit Electrical 1990-11-2
.........-. ..
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: : 726-3769
, 'OFFICE: 726-3759
ELECTRICAL PERHIT APPLICATION
City Job Number q () /3
3. ' COMPLETE J?EE SCBED~ BELOV
'1, LOCATION OF. INSTALLATION
, '?tJ , ''-"x.h.i4;.I~AA..-o-
/}1It..
,
A. New Residential-Single, or
Multi-Famfly per ,dwelling unit.
Service' Included:
LEGAL DESCRIFTION
llJ1l--j'l /7 ~ UJr 7$00
JOB DESCRI~ION
('f11J h ,- ( 0 J-/orwo ;;-1L cf.Jii.G
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 Con tractor-1:l er; ./.a.?i
Address '7S 6""5"', u./, .::J uW
B.
t;&zd-/,'"
City ~~J~-' ,Phone
Supervisor License Number
.'), </'<{-I s;D (;)
,9 </:;-,5
Expiration Date
[0-9/
"'
C. Temporary Services or Feede'rs '
Installation, Alteration or Relocation
ConstrContr. Number ..::; o...:;J..&' 0 c:,
, Expiration Date
10-'7'/
Signature of Supervising Electrician
91'5".5 -
U.1 fJA.r></).J
, ,
, OVNER ~rSTALLATION '
Name 0 DD.M1J€.fO '
Address IIClCl f\ -rl>V'(~\ '
City roQ H\L. Phone la ~~ . en t~
The installQtion is being made on
property I own vhich is not intended
for sale, lea~e or rent. '
"j
Owners Signature:
-G?/JUI.eL~~
, . >1-
DATE: 71 1)_ . q (r----~---------
RECEIPT i: (-;;;::h l 'X' LOl 0 l 0
RECEIVED BY: 't::;,r /Y L '
, Items
1500 sq.ft. or less
Each additional 500
sq. ft or portion,
thereof
Each Manuf'd Home or
.Modular Dwelling
Service or Feeder '
Cost
Sum
$ 85.00
;:;-
$ 15.00
"~' '35.00 ,711
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: "B"
above
New; Alteration or Extension Per Panel
One Ci rcui t '.
Two to ten Circuits
Each A<!d t' 1 ten or'
portion thereof
,
-L
ro
$ 35.00
$ 50.00
$ 15.00'
E. Miscellaneous (S~rvice/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
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