HomeMy WebLinkAboutPermit Electrical 1992-05-06C'TY OF
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225 FIFTE STREEf,
SPRINGFIBLD, OREGON 97477 ' ,.j,.
INSPBCTION REQIEST : 726-N.6p:-, ilj.',''t'.,,r^,
OFFICE: 726-3759 " r' '\;'.,''o:
BI,ECTRICAL PERHIT APPLICATION
ob Number
SCEEDUI^E BBLOIT
Nev Residentlal-Single or
Itl-FamiIy per dvelling unit.
Servlce Included:
Items Cost Sum
mD$
1 OP
o L
ntsre transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COI|TRACf,OR INSTALINTION ONLY
Brectricar contractorl, ( Bpnbh nr*fr,rc
tl
1000 sq.t. or less $ 8s.00
Each additlonal 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 1s.00
$ 40.00
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/vo1ts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
JOB
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4Address
ci Phone
Supervisor License Ndmber
141 bb31,
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$ s0.00
$ 60.00
$100.00
s130. 00
$300.00
$ 40.00
Exp iration Date /o qz
Constr Contr. Number
Expiration Date L L
Signature of Supervising Electrician
Owners
Address Aa5 N 5tL
Ci ty 5pBtNbFt&D ,7 a;" a tq1Phonel-
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
RBCEIPT
200 amps or }ess
201 amps to 400 amps
-Over 401 to 500 amps _0ver 600 amps or 1000 volt
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$ 40.00
$ ss.00
$ 80.00
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D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit --.|_- S ss. oo 1!DP
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Light ing-
Limited Energy/Res
STIBTOTAL OP ABOVE
5f State Surcharge
TOTAL
$
$
$
$
5,5
00
00
00
00
40.
40.
20.
36.
0
RECEIVED BI:
City
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