HomeMy WebLinkAboutPermit Electrical 1991-8-28
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPECIION REQUEST: : 726-3769
" 'OFFICE: 726-3759'
1, ,LOCATION OF INSTALLAT.!Op
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LEGAL DESCRIPTION
-rM J./rf 10 100
JOB DESCRIPTION '
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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. CONTRACIOR INSTALLATION ONLY
Electrical Contractor i/-er2..-i-lOJ"-€ fledrlG
o
Address' <K ~ r;. uJ. ,1.lJ;)Y
City EIA 0, e,ve-
Phone, :;?1I'f-I:;OO
Supervisor License Number ,,;1.19-':::>' R'D d.-
Expiration Date / f) - ~1-9a-
Constr Contr. Number d-6- ;). '60 c.
-
, Expiration Date 10- '5 j:- 9CJ.-
Signature of Supervising Electrician
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,
Name
Owners Signatur~:
DATE: ~. '1f..lY.trTJ------:-~-
RECEIPT I: ..J--/ . - ~K. I #... ~ ':::f '
RECEIVED BY: ( - / 'I.L.LA:. ),
..,.......-. .
ELECTIUCAL PBRHIT APPLICATION
Q (r1o?\4
Ci ty Job Number
3. . COMPLETE I!EE SCBEDtJl.B BELOV
, Items
Cost
Sum
A. New Residential-Single, or
Hulti-Family per dwelling unit.
Service Includedl
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder' :J-. ,'$ 35.00 70
B. 'Services or Feeders (10 Branch Circui.ts
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/vol ts ,
Reconnect Only'
$ 35.00
$ 60.00
$ 80;00
$130;00
$300.00
$ 35.00
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C. Temporary Services or Peeders
Installation, ,Alteration or R~l,ocation
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
D. Branch Circuits
New; Alteration or Extension Per Panel
One Ci rcui t "
Two to ten Circuits
Each Aqdt'l ten or'
portion thereof '
, .
$ 35.00
$ 50.0~
$ 15.00
-
ALLATION
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Address .J2.fI' 4 ' '
Ci ty (1'D Q ilL- Phone~RR(JCU-23'
Th~ installa~iOn is being made on
property 1 own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lightin~
,Signal 'Circui t or', , ,
limited 'energy panel
, 5;
SUBTOTAL 01' ABOVE
5% State Surcharge .
TOTAL
$ 36.,00
$ 36.00
$ 36.00
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