HomeMy WebLinkAboutPermit Electrical 1993-3-15
971,77 Mi>/C
726-376~) _.---
: 'r 2.::.-'L~
/,. JI2# _~~,<,,~Q1lr.,k~~, PEE SCIIEDULE BELOY
LOCATION O~INSTALLATION .
/~ I " 57, - tAtnlbRV A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
225 FIFTH STREET
SPIUNGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
1'703 2h I J/t)3GoO
JOB DESCRIPTION
tAtlJJ IJ R Y /(01) M.S
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 INSTALl.ATION ONLY
Electrical contractor.LiuJJs E'U:::;.GTJUL
Address {;6, Bt::nJ- A
Ci ty FAu..- (' JR.t:t:::./( Phone 72"'" 7~5
Supervisor License Number :;i3S7 S
I
Expiration Date 1"-/- 95
Cons t I' Con t r. Numbe r ;)3/~ I
City Job Number
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwellirig
Service or Feeder
Items
911L/LJ7
Cost
Sum
$ 85.00
$ 15.00
$ 1,0.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
B.
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5'0.. QO
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 1"-5-9..3
Signature of Supervising Electrician
o~~ ?~
Address
Ci ty
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
ItECETVED BY:
?'l:5-:3 "3
~~.
volts
.
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service 3.J,~
or Feeder Permit -I' $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Com~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOT AI.
not included)
$
$
$
$
~;;.~
_ L/.~
1~~'~
40.00
40.00
20.00
36.00