HomeMy WebLinkAboutPermit Electrical 1994-11-10
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225 FIFTH STREET approv.1.
SPRINGFIELD, OREGON 97477 Zonlno L-DI2....
INSPEctION REQUEST: 726-3769 \ I -, 0-- ~ 1..-1.
OFFICB: 726-3759 . DMe ~
Authorlzed Signature rv':3 .
1. LOCATIO~OF INSTALI...\TION
9/J1J O"pc,1'" to 11' A.
J/~~AL~CRII3.0N (jC)<500
JOB DESQUPTION ~A , /J I
---1:i:. '7r- h~/..a--? ~ ;.-rT &::>Vr:"'.._
PermIts are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY
.
Electrical Contractor
ROSE CORP
Address
89976 DAY LANE
City
Phone f>Rf>-n9n~
I'll r::ilI I'
Supervisor License Number -156RS
Expiration Date
Constr Contr. Number
10/1/95
..
.-
5443 i :....
Expiration Date
Ql::ln/Q'i
Signature ~pe~iSing Electrician
, /~/~
.
Ovners Name /lOr /:; /f)(2/..fJ 'JTfI;/~
Address q (Y) ;tJ/'p c: r ().' -i
City 7IY'-;-PY Phone ~4)~<;6Z:::C;
OVNER INSTALLATION
The. installation is being made on
property I ovn vhich is not intended
fo~ sale, lease or rent.
Ovners Signature:
, . .
DATE: ,!I-IO-CfLf
RECEIPT .: ()/o41f/l . ~
RF.CI!IvED BY:''1.. . I V~~
.';
_.
SPRINCFIELD
'City Job Number
COHPLETE VEE SCBEDULE BELOV
Nev Residential-Single or
Hulti-Family per dvelling unit,
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
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
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "Bn
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit ~/
Each Additional
Circuit or vith Service
or Feeder Permit :3
'::Ie . 0 ()
$ 35.00 V---'
$ 2.00
G, , ()D
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Ligh.ting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3 if/.W
~.o")
/ .().3
</I 44 '0>15
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL 370 Mrx.w