HomeMy WebLinkAboutPermit Electrical 1990-11-14
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225 FIFTH STREET
SPRINGFIELD, .OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
,1. 'lf8..ff.'?1.F ~~~ ~.
\~G~~~~N~ n-4000
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Permi ~ are non-tra~sferable and expire
if york is not started vi thin 180 days
of issuance or if york is. suspended for
180 days. .
2. CONTRACTOR INSTALLATI!lN ONLY B.
Elec trical Con trac torI ~tJL Ph {' 1::x1 0.-.
Address Qo a'{ \ \ \ 3C\ .
City 8.JQ ~ Phone4<6S~bl61
Supervi'sor Qense Number 3..~:::S6<S
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The installation is being made on
property ,I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~:~~r i:' U ~-T1 c$1P------------
RECEIVED BY: ~II~ ,
~........_--
.
ELECTRICAL PERHrr APPLICATION
, City Job Number' ~ () 1 ~ 9.. \
3.
COHPLETE FEE SCIIEDULE BELOlI
Items
~
Cos t Sum
A.
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
1500 sq.ft. or less
Each additional 500
sq. ft or, portion
thereof
Each Hanuf'd Home or
Hodular Dvel1ing
Service or Feeder
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (10 Branch Circuits
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
$ 90.00
$130.00
$300.00
$ 35.00
U1.)
I :""'J()
Expiration Da'te
Constr Contr. Number '~~~
Expiration Date 6\'0 IO(f
Signature of Supervising Electrician
~ TIh1AA In i-& ___
'f-.." v ~ 1\_ \ \. D. Branch Circuits ,
/vners Name..... \ Y} Ife_ \_ le.CL\. \1 )~'(ir- '
' Ann 'V'Y---../f"\.' C'L Nev, :Alteration or Extension Per Panel
Iddress ~'-1 . \ \ \\ , q (\ ~. l -
C'r-.. (\ r7"tI -;-, One Circui t .' $ 35.00
City~\\)l Phone Tvo to ten Circuits $ 50.00
\ \ - Each Addt'l ten or '
OllNER INSTALLATION' portion thereof $ 15.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Hiscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
200 amps or less
201 amps to 400 amps
Over 401 ,to' 600 amps'
, Over 600 amps or' 1000
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 40.00
$ 80.00
vol ts see "B"
above
not included)
$ 36.00
$ 36.00
$ 36.00
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