HomeMy WebLinkAboutPermit Electrical 1994-7-18
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SPRINGFIELO
The following project 81 submitted hall the f
zoning, end does not require speolflc land
approve!.
225 .FIFTH STREET I "'/7 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlnp r...ut::--
INSPECTION REQUEST: 726-376%_ 7-- If; .-<jL( Ci ty Job Number Q "?it? B ~
OFFICE: 726-3759 e I . ,
Authorized Slgnetu1'8 .,,(J ~PI ".,." ""'~DULE BEUiv
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION f A
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Permits' are non-traRSferable 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
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
It ems Cost Sum
1000 sq,ft, or less $ 85,00
Each additional 500
sq. ft or portion
thereof $ 15,00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, AlteratioDs
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
Expiration Date
Signature of Supervising Electrician
.
Owners Name i9;qv~-'= F
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Address
City <p~ ~Phone""'?""/-~'7?
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01lNER INSTALLATION
The installation is behig made on E.
property I own which is not intended
for sale, lease or reDt.
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RECEIVED BY: ./ --
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D. Branch Circuits
$ 40.00
$ 55,00
$ 80.00
see "B" above
New, Alteration or ExtensioD Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit /
....-
$ 35.00 ~ob
$
-:2.~-
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigatioD
Sign/Outline Lighting
Limited Energy/Res
Limited EDergy/Comm
SUBTOTAL OF ABOVE
5%'State Surcharge
TOTAL .
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$ 40.00
$ 40.00
$ 20.00
$ 36.00
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