HomeMy WebLinkAboutPermit Electrical 1993-1-15
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225 FIITB STREET appro..'., L-D R ELECTRlCA.'P'ERM);:r APPLICATION
SPRINGFIELD, OREGON 97477 Zonmo
INSPECTION REQUEST: 726L:~~69 \ - I ')-93 Ci ty Job Number ~ ;!c:x:>oZ
OFFICE: 726-3759 C r ~,^ - 0 - ,,(.1 q~
Authorized Signature---!.L3:--COIlPLETE fiE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
t..:J1I" (fPkJHAV~.)
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
jf work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
El t. 1 C t t nREGOIl HEmiC SERVICE
ec rlca on rac or
Addressd2.JO r..O I ~ \=?...e
Ci ty -I-U.ft\f~ , Phone,at/.a -/6<i?/
SupervisonJ'License Number I.a.q,;;:; s
Expiration Date' /n/9.5.
l
Constr Contr. Number "'--~ Reo I
Expiration Date 9 Iq 6,
I
Signature of Supervising Electrician
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Address ~..1J/l (.01' J.1J:1B.lrr~
Ci~"""",I'\\'\ nDd PhoneJ./1 Wn,
OVNER IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
1
~..- ." -.- ..~.
DATE:
RECEIPT #:
RECEIVED BY:
/-/5- 9~
"7 2~k?
--- 4---~ >-
7-
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or por~ion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
C.
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit $ 35.00 L-\ ~ 0-0
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00 No..::>
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 $ 36.00
5.. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
..
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