HomeMy WebLinkAboutPermit Electrical 1992-9-21
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225 FIITH STREET rh ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ::on~:~~J~Wlngproe
INSPECTION REQUEST: 726-3769-"Proval.nclclOeD~~e9bUb"'itt City Job Number
OFFICE: 726-3759 roq"lre DP:<t has tho
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1. LOCATION OF INSTALLATION~te__2LlI~
1/.:JQQ 1Yl1l1'i'V-tL- S:f-A"lhori>--. ~ A.~Residential-Single or
- u'Qnatu,-o'1Q Hul ti-Family per dwelling uni t.
Service Included:
.
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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.
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*
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor. .s0'....//~/,,~!~~ __e... Relocation:
Address '-to.'I 11<.v'l Cl 0( /f.Jt"/r r",
Ci ty 6y.~v,,^,,- Phone:L8';'-::'~ /vv
Supervisor License Number
57RFT
Expiration Date 10 -/- '73
Constr Contr. Number ~ l(~/o/
Expiration Date /~ -j. <;--93
Signature of Supervising Electrician
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Owners Nan1e Dr ,-t-TUJa&,'- I.."k.~ ~
Address t.,-r?q Lt P1Il~:VL--
Ci ty ~,"'t/.'d L Phone )9"i. - /)/ ttI
OVNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovoers Signature:
---------------------------------------
DATE: qbilq~
RECEIPT I: 1/:lCl&j
RECEIVED DY: /2R
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "D" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm' $ 36.00 J?'~~
5. SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
J C,t90
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