HomeMy WebLinkAboutPermit Electrical 1993-3-1
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225 FIFTII STREI~T
SPIUNGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 77.6-3759
97/177
726-3769
(f..A "II
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ELECTRICAL PERHIT APPLICATION
Ci ty Job Numbcr 9'3LJ2""33
3 . COHPLETE 11EE scnEDULE DELO\1
1.' LOCATION OP INSTALLATION
5S3S I..~~. J 'J.pML//j..3
LEGAL DESCRIPTION
1?~2-"3 ';i -~~~ ct:'/3t?P
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
D. Services or Feeders
Installation, Alterations or
. Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to'1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
JOD DESCRIPTION
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Permits are non-t~ansfernble and expire
if work is not started within 180 days
of issuance or if work is suspended for
100 day~. '
2. CONTRACTOR INSTALLATION ONLY
Adch:ess
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Supervisor License Number J.b...Rh S
Expiration Date 10 - I --qS-
Cons!J? Con t r. Number ()'.32,4q
Expiration Date q -1-q5
C.
Signaturc of Supcrvising Elcctrician
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Owners Name, ~~ ~ I
Address cf'
D.
Ci ty
o OL Phone 11J..1a - 513!1
O\1NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:, i' '''3--/ ~~ .s: '
~~g~~~~;[) #J:\Y :~'~~~~ ,P___ ",_ ,_, ..,________
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu!' d Home or
Modular Dwelling
'Service or Feeder
$ 85.00
$ 15.00
$ 1.0.00
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
$ 40.00
$ 55.00
$ 80.00
volts see "D" above
Dranch Circuits
New, Alteration or Extension Per Panel
One Circuit I
Each l\dditional
Circuit or with Ser~ice
or Feeder Permit
$ '35.00 .&5.00
$: 2. 00
E.
Miscellaneous (Service/feeder not included)
-Each installation
P~mp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Com~
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$ 40.00
$ 40.00
$ .2 0 . 00
$36.00
5.
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAl.
35;00
1.15
3b.'1$