HomeMy WebLinkAboutPermit Electrical 1997-03-28SPflrv{GFIELD
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,-,-P-r\4- ----+r*GrRrcAL PERHIT APPLICATION
225 FTFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQTJEST:
OFFICE: 726-3759
97 477
726-3769 Ci ty Job Nunber
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1. LOCATION OF INSTAILATION
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JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
;; i;;;.""" o. if vork is susPended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor Son i trol Secur i ty
Ad dress P.O. Box 21009
3. COHPI,BTB FBE SCffiDTII,E BELOV
A. Nev Residential-Single or
MuIti-FamilY Per dvelling unit
Service Included:
f tems
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
Cos t
s Bs.Oo
s 1s.00
$ 40.00
$ s0.00
s 60.00
s100.00
$130.00
$3oo. o0
s 40.0c
E-o
Sum
B
City Euqene Phone
Supervisor License Number
Expiration Date /o * /'?9
Constr Contr.Number 651 49
Expirat i.on Date 7-2OOO
Si ture of ts Electrician
0vners Name /-t
Sorn
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps or less S 40'00
Over 600 amps or 1000 voTts see 'rB" above
Branch Circuits
Nev, Alteration or Extension Per Panel"
gne Cireuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
S 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited EnergY/Res
-
Limited Energy/Comm /
3Gob
46 7B
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200 amps o
201 amps t
401 amps t
60L amps t
Over 1000
Reconnect
r less
o 400 amps
-
o 600 amps
-
o 1000 amPs_
amps/volts _
0n1y
Add res s
Ci ty
?
C
D
E
Phone 751" -2 -7+
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, l-ease or rent '
Orrners Signature:
s 40.00
$ 40.00
s 20.00
s 36.00
5 SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
DATE:o$
CITY OF ONEGON
RECEIVED
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