HomeMy WebLinkAboutPermit Electrical 1993-6-3
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SPRINGFIELD
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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97477 <,d.'. - n_ -
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1. LOCATIqN OF IN~T LATION
-1lBJ K~o. RIL. .
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.JOB DESCRIPTION I
ll)ti\..l..), nQ n.t p..l.1.lln~ IIJ 10 K \ill
Permits are non-transferabLe and expire
if vork is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractori!",t~ 8DO(\T~,
Address ~.O, ~,ILt'Z~
City~ Phone 141-:{1-:3lo
Supervisor Llcen,se Number Ib&b S
Expiration Date 10 - 1- q 5
Constr Contr. Number 03'&4'4
Expiration Date
q -I -q :3
Signature of Supervising Electrician
fl~a~
Owners Name~QI~Q~
Address \~<61 .kvn~o((~rt,
City~~oj~u\.Phone 9'l4'1~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~------t()~~~~---------~-----
RECEIPT ,: ~t? I N'\ 51.ti'
RECEIVED BY:( _/) (j 1V\l--:) ,-
A. Nev Residential-Single or
Multi-Family per'dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
,Modular Dvelling
Service or Feeder
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
Sum
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$ 85.00
$ 15.00
$ 40.00
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$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 40.00
S 55.00
S 80.00
see "B" above
Nev, Alteration or Extension Per Panel
$ 35.00 fl:), 00
$ .2,00. ')..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 S 36.00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit I
.1'1. Of)
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