HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FIFTH STREET ~:,' . _~\..- . ..' . ~ ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 974707, ..nQ...--- ~____ ' (f()7\.A I1i1
INSPECTION REQUEST: 726-376.9 ,?-o"A. '!- ~ ~ ~ ty Job Number '1~). 110-1
OFFICE: 726-3759 0 ..._"1'.:.:::---- e '
, 00"- .,eoSV;l"I>W\ 3. COMPLETE FEE SCHEDULE BELOV *
1. ri LOCATION OF It!STALLATION"o'"
..:;gOCj IYlfJ/N ~mt:,t;./ - A. New Residential-Single or ' ,
mt!.lftdlZle C1?tJ&5/A/G HltJF, ~ Multi-Family per dwelling unit. ,
1r;~PTION O(</7<<J Service Included: Items Cost II' Sum
__ JOp DESCRIPTION U
) /If.J rlltL fd.{t::S tJ 11/ G If. fJ '? (If IJ 0-, piC; 175 .JI-
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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 B.
Electrical Contractor[.;f,6Jf#6)4J?1.Mc..
Address 6% (J/. "Q" 5!kee-r
City 5 MiD Phone/if? iPb3t
Supervisor License Number It/. 73 S
10/I/Q5
Expiration Date
Constr Contr. Number C)?0~
'X
Expiration Date!:J,//f jqq
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Signature of Supervising Electrician
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Owners ?anSiJ/f/1I/6FIIFl/)E:/k()r &IK?'
Address 5ZDQ mfl-/lJ.9nL ,
City SPDld ' Phone 1'f7, 9,S5~
OVNER INSTALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: TiL....- I L1.::5
RECEIPT 1I: -'- fl. _ 1/"-19'/"
RECEIVED BY:~'~J"" ~ .
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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 .-
$ 85.00
$ 15.00
$ 40.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
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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E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting ,~
Limited Energy/Res
Limited Energy/Comm
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