HomeMy WebLinkAboutPermit Electrical 1992-1-10
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225 FIFTH STREET ,y,,'t"',!!..!i!'.
SPRINGFIELD, OREGON 97477#;",-r
INSPECfION REQUEST: 726-3769 .,,"~~'
OFFICE: 726-3759. d~f:,~\<!:~ m
1. L,O~:rIOlt OF ,-JjNSTAJ.H:I~.,6~"'>~ 0-.11
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Perm ts ar-e ~n'-:a:s~~:b(l: ~d-::Pire
if rk is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY B.
Electrical ContractolT1 O~. i1'~ ~ fP~a-
Address /15...CS [ I '), ~4 ~
Ci ty\ i 1_ 1qO 1\0 -' Phone .M4 - (f"SOO
Supervisor L~cense Number L1~~
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Constr Contr. Number (o::5I~f)
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Expiration Date
Expiration Date
Signature of Supervising Electrician
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Owners Nanie \. )(")n t"
Address Blo4q4 '~..J
City Sill; If .Phone r+7-q{J]j
OVNERII~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEln II: 1-1. .~
RECEIVED BY:0y//~ ~
SI-'IINCr-IELD
Nev Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less,
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
C.
uni to ~
co:V::
$ 85.00
$ 15.00
$ 40.00
I
01J
$ 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 fiB"
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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