HomeMy WebLinkAboutPermit Electrical 1993-4-2
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SPR.FIELD. -
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION ~OUEST:
OFFICE: 726-3759
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'() '<~^, ')Ctr~~:':6",h. ELECTRICAL PERMIT 'APPLICATION
97477 ~Ie 1:'''''0 Vi', ,"re(/
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726-3~~i" -...! ,OJ Cl/io I: buv Job Number Cl '3rJ':;;:' 42-
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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
Electrical Contractor
Address
City
Phone
..
Supervisor License Number
Expiration Date
'.
Constr Contr.' Number
'"
Expiration Date
Signature of Supervising Electrician
Owners Name ]) f ]) 7-Im.-~
Address ~c;, / /.AJ~A/.LR ~
City fiut:::', Phone ;;<fJ4-!7~f
OVNER INSTALLATION
The installation is being made on
property I own'which is not intended
for sale, lease or rent.
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Rr,"J>.1i 1 Ill. " '7"7,??
RECEIVED BY: ;//-zr---._
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New Residential-Single or
Multi-Family per,dwelliRg
Se~ce Included:
.............. Items
unit.
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$,85.00
$ 15.00
$ 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 Relocatior
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
D.' Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi,t
$ 35.00, ,
$. 2.00,
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36~00
5.. SUBTOTAL OF ABOVE 4()"t:?:P.
5% State Surcharge ' 2?"
TOTAL ' A.-y~0t!:J
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