HomeMy WebLinkAboutPermit Electrical 1992-3-10
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225 FIFTH 5<,,"4 .~~~,~,~;~(: ,t....'O~
SPRINGFIELD, OIlEGON 97411 1.<>(\\r.<;l~ A
INSPECTION REQUEST: 726_3769t"'.. ~\~
OFFICEs 726-3759' O~.~~~.
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1. LOCATION OF INSTALLATl<>>t'O<;. / ~ttr
5"D EOt:rE/J117/Vr ~~
LEGAL DESCRIPTXON
1/ O?3 '-i I .?; (5lJ (dO
JOB DESCRIPTION
U:;n f7 c,E:e u/e IE-
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
Z. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t..,jj, lJ1Iet'tS
Address~f1~ C,Ut!U6f Sa'.
City .<.'prt) Phone 74-7-0rr-1/
Supervisor License Number f--r,D Ge, .s
Expiration Date ID-I-C("2-
Constr Contr. Number o/fl'3f1
Expiration Date
COIl1'LETE FEE SCHEDULE BELOIl
A. ,Nev ~esidential-Single or
Hulti-Family per dwelling unit.
Service Included:
B,
;;/J
Items
1000 sq. ft. or less
Each additional 500
sq. ft or, portIon
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Reloca tion:
200 amps or less
201 amps to 400 amps
401 amps Cto 600 amps
60l amps to lOOO amps
Over 1000 amps/volts
Reconnect Orily
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
'-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
:xtI~ IJ~, _Cl.,;_
V t:J' /J"L?~' _ D.
Ovners Nanie A(J13cRT ~^IS; I
Address 2'350 (}Jfkt/44. -rQ.
City k(/{.,EJ/E Phon~...f~~ -~.,y~
01lNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Owners Signature:
---------~-----------
DATE: 'J-q 42--
RECEIPT 11: =:0,J7?
RECEIVED BY: ~ {j.;'vvr
I
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or'1000 volts
4 0'-
S 40.00 0-
$ 55.00
$ 80.00 '
see liB" above
Branch Circui IS
,Nev, Alteration or Extension Per Panel
(lne Chcui t
Each Additional
Circuit or with Service
or' Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each'installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. StJBTOTAL OF ABOVE
5% State Surcharge
TOTAL
, $ 40,00
$ 40,00
$ 20;00
$ 36.00
40~
'2-. 0...
41jl. 0-.8
3689
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lev' aOoU\
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225 FIFTH ...r.u.. ~\C1ll\\1<}oeaf\~, .
SP!UNGFrELD, OREGON ~.,.,,~, ~~ ' V '
INSPECTION REQUEST: ~~j~69 ,,\i'~ "~"'';)- .
OFFICEs 72.6-3759 1-0 1>\ '!p-- ' ' .
, , ./-""e 3. COtIPLllTE FEE SCHEDULE BELOll
1. LOCATION OF INSTALl.IO'1~~ <;'\~
:'')0(") E/J&-E /1'JtJN1i.",,'i/~ A. ,New Residential-Single or
--- L/-- HuIti-Family per dwelling unit.
Service Includedl
u;~o~~mO~ ()1Jl aD
JOB DESCRIPT}:ON <
/1/&/ 4ocJ/J "5/fm/ct?- ~ I'LJ1IN}e-t.-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Z. CONTRACTOR INSTALLATION ONLY
Electrical Contractor I-. ,JI. /I1dl'fk
B.
EkI'J
Address 4e3
City S f1 p/J.
<;Heu ~V S7:R.
,
Phone 747-Of"11
Supervisor License Number' bODL..s
Expiration Oate IO-/-Cf2-
Constr Contr. Number 0/ pj 3 fl
Expiration Date I
Signature of Supervising Electrician
vlV ,p :-'2..._
Owners Name J70,q.E.RT
~~/g r
Address.!11.50 LJ/J~ TER.
Cityffit.l:?pt! Phone~ -a;.~'2-
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
------ ....... -------------
DATE: :::) --1 -12..-'
AL"u.PT 11: ~LI""
RECEIVED BY: ~"
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or, portion
thereof $ 15.00
Each Manuf'd Home or
Modular ~elling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00 ..k2Q
401 amps Cto 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Orily $ 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'lOOO volts
$ 40.00
$ 55.00
$ 80,00 .
see liB" above
D. Branch Circuits
.Nev, Alteration or Extension Per Panel
One Cheui t
Each Additional
Circuit or with Service
or' Feeder Permit 2lJ
$ 35.00
$ 2.00 4c)oO
E. Miscellaneous (Service/feeder not included)
-Each'installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
, $ 40.00
$ 40.00
$ 20;00
$ 36.00
5.
/tJo
5'
/ LJC;
Q.Q.
SlIBTOTAL OF ABOVE
5t State Surcharge
TOTAL
oc;...
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