HomeMy WebLinkAboutPermit Electrical 1992-5-15
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225 FIITO STREET ,,"~\\l.,e ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ~~~~~~\C\~ (J n 1'\ \ J \
INSPECTION REQUEST: 726-3769 \t\.~~,(O"~ City Job Number 0\/.-1) O~f)
OFFICE: 726-3759 _.",ci\e~\,.,o: . ,
1. LOCW~..Q.F IN!!AIR:.t.~~~GO"" ~OHPLETE SCHEDULE BELOIl ""--l" , Ai,
hI \'~ \ \' ,_il'~ J....f.,t.... _\0d Residential-Single or ~k.
- - ~~' Multi-Family per dwelling unit. .U,!
\\~~D~~ O(9~~\l'O Service Included: Items Cost ~ ~m
(-.'.'-:':.'
UOB DES:CR.l.PTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor EU6l'1~()iU
Address I1.D lYl0\1101! 5+ .P.o,&OX.:t3CJ1</
City l:.u c..Ul-f I t9 R Phone 341/ - ~I
cJ .'t7<iOl-
Supervisor License Number 3>11- S
Expiration Date
IV/I/'l'J..
Constr Contr. Number 0V{(-Q 0
L/ /5/1'2
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIVED BY:\"'AU,U ...
E~S"t:i-S - J -
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
(
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$0
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump Dr irrigation
Sign/Outline Lightin2
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
200 amps or less
201 amps to 400 amps
Signature of ~~~:n~ Electrician Over 401 to 600 amps
~ Over 600 amps or 1000 volts
V' --- [)' D. Branch Ci rcui ts
Owners Name ~~I; \',,....,~ '" V)\Q{'I ~\(Jl\ (\, ;t-",)
~, Alteration or Extension Per Panel
Address .P. 0. p.,Q)'. ri.:.-:'_':.~ 9..~ \ (\)1.0~~
~~~ One Circuit
Ci ty Fu r. . ~ . Phone-..a:'" "57-1: Each Addi t ional
o ~ Circuit or with Service
'OIlNER INSTALLATION or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "8"
above
$ 35,00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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