HomeMy WebLinkAboutPermit Electrical 1990-11-21225 PTYIIi STREEf,
SPRINGPIELD, OREGON 97477
INSPBGII0N RBOI ESTI 726-3769
OPPTCB: 726-3759
I LOCATION
2 ?_ s,
IJGAL DBSCRTPTION
JOB DESCRIPTION
\\SEpr )l(F
Address
ci Phone
Supervisor License Number
Expiratlon Date
Constr Contr. Number
Explration Date
Signature of Supervlslng Electrlclan
0uners Name
Address ?7 t1.4z-*tr
ci p Phone l4{€r:rB
OVNBR INSTALI.ATTON
The installation ls belng made onproperty I ovn vhlch is not lntendedfor sale, Iease or rent.
SPR]X ELO
EIJCTRICAL PEiRXIT APPT.ICATION
Ctty Job Nuuber
3. COHPI.ETE PEB SCIIEDT'I^B BELOV
D
Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocatlon
201 anps to 4Oo amps
-
S AO.OOover 401 to.600 amps
-
S go.oO
over 600 amps or.rboo-GTls i""-;i; aEoIE
Branch Circults
Nev, Alteratlon or Extenslon per panel
One Clrcuit
Tvo to ten Circuits
Each Addtrl ten orportlon thereof
E
s 36.00
ST'BTOIAL OP ABOVE5f Stdte Surcharge
TOTAL
Nev Resldential-Slngle orHultl-Faml1y per dvelllng unlt.Servlce Included3
Items Cost Sum
1500 sq.ft. or less - S g5.OO
Each addltional 500sq. ft or portionthereof $ 1S.OOEaeh Hanufrd Home or
Modular Dvelling
Servlce or Feeder $ 35.00
Servlees or Feeders (10 Branch Clreultslncluded). Installation, Alteratlonsor.Relocatlon:
100 amps or ]ess
101 anps to 400 amps lZ401 amps to 600 amps
601 anps to 10oO aroos-Over 1000 amps/volt
Reconnect On1y
A.
Permits are non-transferable and explrelf vork ls not started vlthin 190 diysof lssuance or lf vork is. suspended for180 days.
2. CO}IIRACTOR INSTALIATION OI{LT
Electrical Contractor
B
@s 3s.00
s 60.00
s e0.00
s130.00
$300.00
s 3s.00
c
Hlscellaneous (Servlce/feeder not lncluded)-Each lnstallatlon
Pump or irrlgatlon
Stgn/outline Llghtlns-Signal Circult IrIlmited energ.y panel
s 3s.00
$. s0.00
s 1s.00
36.
36.
s
s
00
00Omers S
DATE:5
RBCEIVED
ture:
.oo
A.
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