HomeMy WebLinkAboutPermit Electrical 1992-5-8
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'lOt r:~ s"bl/rlfl ELECTRICAL PERMIT APPLICATION
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726-3769~.y, '--.:::J.!)I:.--...~GlJe (fftiMa~llIh..l[l!mber qZG)(oO'Z
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S'i<IlOl " 3. COM TE FEE SCHEDULE BELOV
LOCATION OF INSTALLATION/ A. . " ~IQ,.,
13...?- C~~.J ~ ~ Resldential-Single or
Mul lly per dwelling unit.
SerVlce uded'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
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JOB DESCRIPTION
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PermIts are non-transferable and expire
If work lS not started within 180 days
of lssuance or If work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor A- 2ft: Yd
Address ~/C;;'A ~~~ ~p
Clt~-~ Phone c'l?;(;.:J---77/
superVl:o'r Llcense Number :is s7;?--3
Explration Date /0---1-7"...:L..
C.
Constr Contr. Number ~ C;;; .J.-h.;)- '7'
Explratlon Date -ftP1- :; "7':;/;14 G
Signature of Supervising ElectrIcian
~~------~
J.L D.
Owners NameEI /m~4Ia: qi'tN/L;7?;(J
Address /92. CI7'7t#J-w/{--J
CIty Phone
OVNER INSTALLATION
The lnstallatlon lS belng made on
property I own WhICh IS not lntended
for sale, lease or rent.
Owners SIgnature:
~~~~::-:~----~~~~--------------
RLCLIVLD ny: - ~~~
Items
Sum
Cost
1000 sq.ft. or less
Each addltlonal 500
sq. ft or portlon
thereof
Each Manuf'd Home or
Modular Dwelling
Servlce or Feeder
$ 85.00
$ 15 00
$ 40 00
SerVlces or Feeders
Installatlon, 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
-#t:2
Temporary Services or'Feeders
Installation, Alteratlon 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 "B" above
Branch Cl rcUl ts
New, Alteration or Lxtension Per Panel
One C,lCU,t I $ 35 00 .~c.;--
Each Addltlona1'
CIrcuIt or Wlth ServIce
or Feeder Permlt ~ $ 2.00 ~
E. MIscellaneous (SelvIce/feeder not lncluded)
-Each InstallatIon
Pump or IrrIgatlon $ 40 00
SIgn/Outllne LlghtIng $ 40 00
LImIted Energy/Res $ 20.00
LImIted Energy/Comm $ 36 00
.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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