HomeMy WebLinkAboutPermit Electrical 1990-10-29
ELECTRICAL PERH!T APPLICATAO~
City Job Number C\n\OLr/lo
3. ' COMPLETE ~EE, SCBED~ BELOV. ~
A. New Residential-Single or '
Multi-F,ami1y per dwelling unit. ,.',
Service Included:'
, Items Cost' Sum
225 FIPTH STREET
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: : 726-3769
, , OFFICE: 726-3759
1, LOCATION OF INSTALLATION
, ,QKfo mCj)~ CT.
LEGAL DESCRIPTION '
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JOB DESCRIPTION II ---4- .
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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 contractor~~~ ~
Address gSS", uJ. ,J<lY
Ci ty e:~ Phone ..5''1'' - /:;po
Supervisor License Number 9 t.j.. 5"".....s
Expiration Date
Constr Contr. Number
10-'7/
.;J.O-,;2.go Q.
/0-91
, Expiration Date
Signature of Supervising Electrician
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Nam~u~~~L;~;;\nKtn QJS
Addre:;\\Z\q \\ ~ n--l!( , ,
Ci ty f1 ~f IlL Phone ( o~R -9/.as
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
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Owners Signature:
O~i::~~ '
'~A;i~------({i}~1/~~~:~~---------
RECEIPT I: I r ldf-lO:-S:J
RECEIVED BY: ('-IIfJ_J~C'
1500 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Manuf'd Home or
,Modular Dwelling fl,"'" ..... "'$' '35. 00 ',~.' D
Service or Feeder', tJ;r- '. I
\
B.
Services or Feeders (10 Branch Circuils
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'
$ 35.00
$ 60.00
$ 80;00
$130:00
$300.00
$ 35.00
"-
C. Temporary Services or Feeders
Installation, Alteration or Rel~cation
200 amps'or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps, $ 80.00
Over 600 amps 'or, 1000 volts see,.B.
above
Branch Circuits
New; Alteration or Extension Per Panel
D.
One Circui t "
Two to ten Circuits
Each Md t' 1 ten or'
portion thereof '
,
I
ill-
$ 35.00
$ 50'.00
$ 15.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lighting
SignalCircui t or', , , ,
limited 'energy panel
,5;
SUBTOTAL OF ABOVE
5% State Surcharge '
TOTAL
$ 36..00
$ 36.00
$ 36.00
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