HomeMy WebLinkAboutPermit Electrical 1993-5-5
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225 FIITH STREET c, ..0'": ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 ZO>1inn l...I7Ie, q r, II) '77/ /\
INSPECTION REQUEST: 726-_37c6,~,_51)1_~_"} . City Job Number_ d n\ ~
OFFICE: 726-3759 ~
Autnorized Signaturo-3~':"GOHPtETE-FEtrSCUEDULE BELOV
1. LllC~~ PFI ~2'f{l.LLATION
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SJOB Di~P'rION I Q r-::. rY
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Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto~l~\ruJ[S
Address cSlCf5 n1anlL,~
City ~hone 4 ~s- 0122-
(j
Supervisor License Number 6! Q1c:)S
(0, /,qs
Constr Contr. Number04-ZCf(p
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Expiration Date
Expiration Date
Sign(pMP~ridan
Ovners ~anie ~(J ) r n 1ittlliV
Address I~F) I '--~ ':3Jl oJ .
Ci ty ~ 'Phone 14l-1t1 04-
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OVNER INSTALLATION
The 'installation is being made on
property I ovn which is not intended
for sale, lease or rent.
'Owners Signature:
-~-,---------------------~~~---~---~--
DATE:. (' f) /5 \ ') .q") .
RECEIPT I: ~j/ _ ~'/n
RECEIVED BY:\. AU J(,,' ) ,
, ~J
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items Cost Sum
1000 sq.ft. or less --L $ 85.00 8Q
Each additional 500
sq. ft or portion 4 LcD
thereof $ 15.00
Each Manuf'd Horne or
Modular Dwelling
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see tlBIt
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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