HomeMy WebLinkAboutPermit Electrical 1995-8-25
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225 FIF'!fl STREET:'6;'~''7jtEenrrCAL PERH.!T APPUCATION
SPRINGFIELD, OREGON 97477 'Cfl--i: ;dU!uOZ
INSPECTION REQUE'ST: 726-3769 ' ,; ""~O~~y" Job Number ~'5'/ "7 &:,;
OFFICE: 726-3759 . esn PU9i tJ!.w~ad'~ 011111"'''-,11:01' ~~":" '.",: '.. . . ":
6u!MOIIOj 041 S"4 powwqns 9'P"!<G0M~hk1~E.jftE SCHEDULE BELOit
1. LOCATION OF INSTALLATION ,: '
-?~ ~d;""-~ ~y A. Nev Residential-Single or
" l1ul e i -Family per dvelling uni t.
Ii Serv i ce Included:
LEGAL DESCRIPTION
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JOB DESqq:PT~
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if,vork is suspenaed for
180 days.
2..' CONTRACTOR INSTALLATION ONLY
Electrical Contractor PUTrTP~
Address--3l7n Mp~nw r~np
Ci tY F'lIopnp
Phone hRR-6121
Supervisor License Number
27195
Expiration Date.Jo/q~
Conser ConCr. Number 20-179C
Expiration Date 10/95
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Signature o~ervising Electrician ,[
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, ,p/ N<\.'\VCvV"\ (It\.\,'ps D\
Ollne:-s Nam~~'~7....2!t~ ~t;J~~ !I
Address ~~b ~~;1';~Arlt1ty I
City ~.t:?9_ Phone 7?1?'~"" I'
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OllNER INSTALLATION I
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The installation is being made on
prope~Cy I olin vhich is noC intended
for sale. lease or rent.
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Owners Sirrnature:
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B-2~~7~
RECEIl'T 1/: /.JIIt" /2.e::>
REC2I'IED In:_r",-7~ "
DATE:
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Items Cost
,
~ooo sq. ft . or less S 85,00
Each additional 500
isq. ft or portion
! thereof S 15.00
Each Manuf'd Home or
iModular Ovelling
[Servi'ce or Feeder I S 40,00
'/~.-
Sum
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Services or Feeders
]nstallation, Alterations
or Relocation: .
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200 amps or less
201 amps to 400 amps
~01 amps to 600 amps
~Ol amps to 1000 amps
qver 1000 'amps/volts
~econnect Only
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Temporary Services or Feeders
lnstallation, Alteration or Relocation
ioo amps or less S 40,00.
201 amps to 400 amps S 55,00" "
Over 401 to 600 amps $ ao.oo
qver 600 amps or 1000 volts see "B" above
;
$ 50,00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
~ranch Circui ts
;
~ev, Alteration or Extension Per Panel
cine Circuit
Each Additional
,
~ircuit or vith Service
~r Feeder Permit
$ 35.00
s
2.00
,
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5~
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II
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~iscellaneous (Service/feeder
~Each installation
p,ump or irrigation
Sign/Outline Lighcing
Uimi ted Energy/Res
~imited Energy/Comm
no t included)
SUBTOTAL OF ABOVE
~% State Surcharge
37. Administraeive Fee
TOTAL
S 40.00
$ 40,00
S 20.00
S 36,00
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