HomeMy WebLinkAboutPermit Electrical 1992-10-21
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225 FIFTH STREET ' P .al. (Jot reqUire Gp~~~'1,fd.I,,^ PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonm ~I""O "30 g n f\ \4l l
INSPECTION REQUEST: 726-3769 Oel. '/ f'\ .lr~' . ty Job Number '-"\ ()) 0 0
OFFICE: 726-3759 ~~ I
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Multi-Family per dwelling unit.
IrJre~f~ ()44(() Service Included:
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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 t'....2,~ ~,&-t:. M,h--'>
Address l::ro
Ci ty <'p~
So '79' t:Z-
Phone "?fI'?- s ~ ()C:J
Supervisor License Number
Expiration Date
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd lIome or
Modular Dwelling 40.00 4{)
Service or Feeder $
B.
Services or Feeders
Installation, Alterations or
Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number $"'L ?:.'1"l
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
/- CJ 7,
Signature of Supervising Electrician
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Owners ~
Add ress
City 'Phone
OI/NER INSTALLATION
The .installation is being made on
. property I own which is not intended
for sale, lease or rent.
Ovners Signature:
)
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RECEIVED BY\; --=-- J ') \J\ ~ _ f -
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
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 "n"
above
New, 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 Addi tional
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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