HomeMy WebLinkAboutPermit Electrical 1993-03-08C'TV OF I
sa'tttNGl"tI:Lf,
{
225 FIrufl STRBET
sPRrNGFrBlD, OREGoN 97477 Ht-tc
u;6\)
INSPECTION RBQUESTz 726-3769
0PPICE: 726-3759 l:1,' )
1. LOCATION OT INSTALI.ATTON
875 N. 42nd Street
IJGAL DBSCRIPTION
r ) o?f? oa6?o&
er
JOB DESC",IPTION
Install board blow detector -] C;
Permits are non-transferable and expireif vork is not started vithln 180 daysof issuance or if vork is suspended for
180 days.
2. CO}TI?ACTOR INSTALI.ATION ONLY
Electrical Contractor ML]RRAY ELECTRICAL
Address P.O. Box 2075 Roseburg OR
City Roseburg Phone 672 8tO0
Supe rvisor License Ntimber 20275
Expiration Date 9-93
Constr Contr. Number 2O-ZO9C
Expiration Date 9-93
ture of Electrielan
Owners COMPANY
Address 875 N. 42nd Street
ct Springfield phone 746-25LL
OIINER INSTALLATION
The installatlon is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
ELBCTRICAL PERHTT APPLTCATTON
City Job Number ot=oaB?
3. COHPIJTE FBE SCBEDULE BELOS
A New Residential-Sing1e or
HuIti-FamiIy per dwelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders'Installation, Alterations or
Relocation:
c
One Circui t -t-
Each Addi tional
Circuit or vith Service
or Feeder Permi t -2-
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nly
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
D. Branch Cireults
Nev, Alteration or Extension Per Panel
%
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/outline Lightins- $Limited Energy/Res $
STIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
$39 .00
200 amps or less $ 40.00
201 amps to 400 amps
-
g 55.00
Over 600 amps or 1.000 volts see rrBrr above
Sum
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 3s.00
$ 2.00
0035
004
E not included)
40.00
40.00
20. oo
5
t.95
RECBIVED BY:
3 q
$4O.95
The lo]lh#nroiec;t as st:bmitted has the iollowing