HomeMy WebLinkAboutPermit Electrical 1994-4-29
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, he. following project as submitted has the
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approval.
ELECTRICAL PERMIT APPLICATION
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225 FIFTH STREET z ' L~.o
SPRINGFIELD, OREGON 97477 onlnq......,~
INSPECTION REQUEST: 726-3769)ate q~~c,-q~ City Job Number
OFFICE: '726-3759 " l~
Authorized Signatur<3-2 :'~TR FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION
70/t::, ;4~e?I,'A
LEGAL DESCRIPTION
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JOB DESCRIPTION -td~
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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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor t-(f-J:'-'(.. 1(-1,:".
Address ::;~."1 S. fc.Bf p~
Ci ty s;. P-fD
Phone ""')i.,; ,-(. II <...-.S' ,
Supervisor Licen.se Number. 35 'r? s
Expiration Date 11- 9 S-
Constr Gontr. Number' 81'L{ 2.,~
Expi"ration Date 3-<;-<=1 '-I
."tVnature of S~~sing Electrician
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Owners Name
Address
City Phone
O\lNER INSTALLATION
The, installation is being made on
property I own which is not intended J
for sale,lea~e or rent.
Owners Signature:
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DATE~----------~-~;12:~~~---------
RECEIPT. #: . v ~,,( ~{),I
RECEIVED BY: ;r-~
A.
New Residential-Single or
Multi~Family per dwelling unit.
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:
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
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
200 amps or less L--
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100d volts
D.' Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
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above
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Addi donal
Circuit or with Service
or Feeder Permit
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
$
$
$
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40.00
40.00
20.00
36.00