HomeMy WebLinkAboutPermit Electrical 1992-7-27
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'1~ "'6$.01$"" ELECTRICAL PERMIT APPLICATION
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726_37~9tO~/"[)~9V''''.~%':/ICity Job Number 9209,,"'71
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Oc:t ,,"' ' ~oHPI.ETEO'itflk'~~CHEDULE BELOV
~7 ':ft.AWN OF INSTALLATION "I)'''"r. ,............ 0 OJ..'
o [\(\ i'lJ\..) New Residential-Single or
Multi-Family per dwelling unit.
vice Included:
e...alll\.l\~o'\l9~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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~ F'~O(\tNI',\t1~.
Address P.O I f.usY. 14~~
CitY4~~ Phone...11l..:J,1.31o
Supervisor License Number J.h.~ '" s
Expiration Date
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Constr Contr. Number 01l84Q
Expiration Date
q-I-H-.
Signature of Supervising Electrician
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Owners Name fuNnl.o l O\~tl.)
Address '1()~4lUll(\;O"'-~
Cit~~'oOA IJhone141-toBIR
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: '7 -2'?- 92
RECEIPT II: -S-~~9
RECEIVED BY: 4~.,
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Cost
Sum
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
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
$ 40,00
$ 55.00
$ BO.OO
see "Bu
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
$ 35.00 35.00
$ 2. 00 ~ . DO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
.
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'31.0fl
uis
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