HomeMy WebLinkAboutPermit Electrical 1996-4-3
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225 FIITH STREET ~ [) (U
SPRINGF.IELD, OREGON 97477 Zoning _
INSPECTION REQUEST: 726-37/iltt. L\; 1.0 ~ Ci ty Job Number
OFFICE: 726-3759 . .
AulhortzedSlgnalU", . "nu.,,:.': ;;-;:l SCHEDULE BELOV
1. LOCATION OF INSTALLATION
I.jn~-A Plo"'eea..... PP,~AY w~
LEGAL DESCRIPTION
;/'7.03 ?~2-3
/ ;L) -I/'ffJ
JOB DESCRIPTION
~ e - WI e.ce IZ-l?...., 1'\1';1\]' IE""
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 L-AI0T'L ELeCrR.'L
Address.,,3.1.. 1.02.-(" cellA 2- t+ Il.l-S
CityP~ I-\-llL Phone 72-~"Ot.:.~"
Supervisor License Number 3 "l '1"2..-..5
Expiration Date
\0 - "18'
Constr Contr. Number if '-I t.:.'l'i
Expiration Date
7- IY-"lh
Signature of Supervising Electrician
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Owners Name
etJ\ e eAL 1\ IH2.nPe-IL-r-'1
4.~ MT.E-~U
a. ~.,.-
Address 1:,3,1
City
S~P!\
Phone "'7Lli]
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------~- ~~-~--------------
DATE: '/ 9 ~
RECEIPT lI: '2e-"'}o;(-' .
RECEIVED BY: /~_'
L - - ~
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
9..5?)~0
uni t.
Cost
Sum
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00 ~.s~
$ 15.00 IS ~
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.3 7b M....\~ P€'C
\ '-l l-frL-
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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