HomeMy WebLinkAboutPermit Electrical 1992-7-15
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225 FIITH STREET ",,''';9v~I, ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974i7 'Ing (;n{2- f.1., nq 1 V1
INSPECTION REQUEST: 726-376 on - Ci ty Job Number vI vv LR I
OFFICE: 726-3759 iSllliL / ~
AIit~ S1gl\lllure ('l/W ~^
1. LOCATION OF INSTALLA'TION
Q/D I ,\C:"l,IW(O\) ~ A.
LEGAL DESCRIPTION
lio?J-z..TZL/ o2-~
JOB DESCRIPTION ,
t!.,\4-'I (J1ANk. r ~C.J\
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 B.
Electrical Conp:actor C~l~jJ..~.h-
Address t?, o,,''L.C, q
City u~fl/.e Phone 7'{'f-o"'Jo~
'Supervisor License Number 3&;;'-S
Expiration Date In/to fer 3
1 I
Constr Contr., Number :/..0-7 _9'ff!.,
Expiration Date Ib /1 l) /'1 j
I I
Signature of Supervising Electrician
~--/~-l"w ,
Owners Name l^f~...J
Address <8JlJ ,/ rlr_t.A-VeN
Ci ty srcf:." 15t1 Phone 7<17 -39 Jl
OYNER INSTALLATION
The 'installati~n is being made on
property I own 'which is not intended
for sale, lease or rent.
Owners Signature:
~~;~~-f7~I~-:q-~-----~~-------------
RECEIPT' #: .?f5Y 01
RECEIVED BY:_I.l~n
COMPLETE ~E SCHEDULE BELOV
New Residential-Single or *
Multi-Family per dwelling unit
, Service Included:
Items ~ost, Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00'
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circui t I
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00 !!hen
$ 2.00
Miscellaneous (Service/feeder
-Each 'installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited E~ergY/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
217.00
i-7r,
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