HomeMy WebLinkAboutPermit Electrical 1992-5-4
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225 FIFTD STREET \~'I ~
SPRINGFIELD, OREGON 97477.~~~0~
INSPECTION REQUEST: 726~et-0600'>
OFFICE: 726-3759 "\'I'0(\\(I\l'~\
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1. LOCATION OF INSTALLATION t k'
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LEGAL DESCRIPTION ~o$'\'o<P
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J~B 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.
2. CONTRACTOR INSTALLATION ONLY
Address
C, 'l-~7 f}p(>,.
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Phone '4-1-~ .X'S' I <;-
Number -.s (,...,Cf ~
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Electrical Contractor
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Ci ty ~AAL!.".
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Supervisor License
Expiration Date
Constr Contr. Number <;"l..jOJd.
Expiration Date 7/~()'t::l.{)
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own~ame
Address
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City~ Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~;;~-------~~------------------
RECEIPT If: YS~'X
RECEIVED BY: ~O~
Job Number
C} d () /",c::, f.a-
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
SCl.(')D
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see f1B"
above
New, Alteration or Extension Per Panel
One Ci,rcui t
Each Addi tional
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
5. SUBTOTAL OF ABOVE 'Sn . nO
5% State Surcharge rl .C:;-O
TOTALc:;,:::) . <;7i