HomeMy WebLinkAboutPermit Electrical 2001-04-27Apr-z3-OI. lO:2OA
225 FIFTS STREI'T
SPRINGFIELD, OREGON
INSPECTION RI1QUIiS1:tafr-0FPICE: 720-3759
Autnollzeo
Slgnalure
1. LOC^TION OT INSTALLATION
6q ? EnSt" .35 ...-A.
IJGAL DESCN.IPTTON
t-7 0 ZT lrz otbo
P -O2
SPFI.!.qFlE,Ll,
LECTRTCAI, TERHIT APPI,ICATTON
t:y .Iob Number_ O l- o O.tZ E -9J_
3. COHPTJTE PNE SCHJiDULD BEI.OV
Nev Residential-Single or
lluI t 1-Pami 1y per duelling un i t .
Service fncluded:
I t em.t Co-s t Sunr
ibov5
JOB DPSCRTPTION
new Nokia radj-o equip for SBA Network
Permics are llon-transIcr.rbJe and expireif vork ls no[ $t;rrtcd vi thirr 180 daysoI issrrance or if uork i.r- suspended Eor
180 days.
2. CONTfiACTOR INST^I.INTION ONLY
Electrical Corrtrnc(or Oreqon Electrical'dioup
503-234-9900
2064S
cConstr Contr. Nurrrbcrr 26-95C
Dxpirarion Da te 1 0;'t -01
si ture of Supervising Illectrician
Ovners Name AT&T
addrcss 1 6.0 0 SW 4th Ave. PtId
ci r'y Phone
Ad,lt.ess@Ave
Ci ty Port_l"t*r..-oR r,hone
9721 4
Supervisor Li c.en.se Number
Dxplration Date 1 0-1 -01
1000 sq.ft. or less
Each addi tional 500sq. ft or por:tion
thereof
l.lach I'tarruf ,d Home or
--Hodular'DveIIing
Service or Fccdcr
Servlces or Feoders
Itt-s l.r]1at i on, Alceration:iot Reloc.rtion:
D. llranch Circui ts
Nctr Alteraciorr or Extcnston
Onc Ci rcui t 1
Each edditiona)
Circui t or: ui th Service
ou Feeder Pernri t
n
200 amps or less S201 amps to (00 amps S/r01 amps to 600 anps ' - S
601 amps to 1000 amps-"- '
SOver 1000 amps/volrs $
Rcconnec t Orrly S
B
.q il:i. 00
s 15.00
s 40.00
r00.00
130.00
300.00
40.00
50
60
.00
00
'l'em;>orary Scrvice.s or l"eeder.sfr:srallatigrr, A),toratior: or Relocnt.ion
2.00 amps 'or less S 40.
201 amps to 400 arps
-
S 55.
Over 401 to 600 arnps
-
S 80.
0ver 600 amps or 1000-\AITS .sec I'
00
E-o-ve-
00
00
Btt a
Per Panel
s 35.00 3s.00
s 2..00OVNTJR INSTAI,I4TION
The ins tallatiorr is [rr:ing made orrproper:(y I ovn vhich is rror inrcndcd
f or sa1e, lea.se (rr Eerr I .
Ovners Signaturc:
Lirrri ccd Energy/Conrrn
SUIJIOTAL OF ABOVIJ
7X State Surctrarge
.JZ Arlminis t.ratlve Fee
TOTAL
|liscellaneous (Scrv
-liach insta]lation
Pump or irrigation
Sign/0utlinc Lighti
[,imi ted Energy/Res
ica/feedet' not included)
S u..0. 00ng- S 4o.oo
-
-
$ 20.00 T
-.-.... s 36.00
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=1 ts
r.J C)
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DATE: C
RECEr?]i-F'
cF. m LnH""(}
RECEIVED
t/ z 70/
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