HomeMy WebLinkAboutPermit Electrical 1992-1-2
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225 FIFl'II STREET <i>A'f,\I(~~\\~
. SPRINGFIELD OREGON 97477 .~rt!J'i:l~jll .
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INSPECTION REQUEST: ~~~~t.49'\~'"
OFFICE: 726-3759 ~t'\1\'i"t'
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1. LOCAT~ OF INSTALLATIilN 'k
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LEGAL DESCRIPTION ~.
17"'~.27'~-;Z_ L),,?.€t>c;
City Job Number q :<.,-............Z
JOB DESCRIPTION
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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 B.
Electrical Contractor Q,1 S fi1l'tJ\uI \ arM.>,
Address P.D, ~ /4'XL
I
Ci ty~ . Phone ..1i1...::.1.1.3/n
superv~sor L~~ense Number 110 g (.., S. .
Expiration Date /0 - 1- q 1-.
Constr Contr. Number () '3 24~
Expiration Date q -I-q~
Signature of Supervising Electrician
C~~.-Y'Lr?'7~~
Owners Nanie3A1lI'f\f\,!,A\.J P-tiLJ
Address_lll55 ~t\JJll1Ll
Ci ty~~ rt, Phone..:]1.l:, - '7~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~~~:~;:~~-----
DATE: . 1-2,9 .'
RECEIPT II: ~.t./ n.
RECEIVED BY: /;.(: .- _ -z
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New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
.Each additional 500
.q. 'ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
. Service or Feeder
. Services or Feeders
.Installation, Alterations or
Relocation:
200 amps or less --L--
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
unit.
Cost
Sum
. $ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
50,00
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
. Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
LiinitedEnergy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36.00
So.oo
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