HomeMy WebLinkAboutPermit Electrical 1993-12-21
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225 FIPTH STREET ,\",0 ,.o\\C~:~gc'oe" \,\ot
SPRINGFIELD, OREGON~97lii1.7,' r C____
INSPECTION REQUEST: n;>7i6:'376~g~ ~, ~ '(3
OFFICE: '726-3759 zo"" L ')...... a-
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1. LOCATION OF INSTl&tATIO~ Sillf.C,'.u'0
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started IIi thin 180 days
of issuance or if lIork is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
A.
Ci ty Job Number. '9 ~/.$c9 $I'
OHPLETE FEE SCHEDULE BELaV *"
Nell Residential-Single or
Multi~Family per dllelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dllelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
) . .;3n1i'. c,{.j" fl-fC i/ltlnstallation. Alterations
Electrical Contractorol(l(..K I,. Jtfl1 . " o('1tel~r.ationb
Address .?/(~ ~) {') fir! ~7-, 200 amps or less
5, 201 amps to 400 amps
City 1'f'l1/(j(;-c"fd Phone 7'11 jOf}Y 401 amps to 600 amps
I v 601 amps to 1000 amps
Supervisor License Number 7,7 ;;:.,-_ ~ Over 1000 amps/volts
Reconnect Only
Expiration Date It).. 1- CJ!f{
Constr Contr. Number '770??
Expiration Date It' - /- '7c(
Signature of Supervis~n~ Electrician
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'''Ollners Name /~~, <)'\r~
Address 6/6 /V'€e.. 6b~
Ci ty _ '5~ Phone 2..(/r/-Itt1.~
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O\INER INSTALLATION
The installation is being made on
property I olin IIhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
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c...--S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
$ 40.00
$ 55.00
$ 80.00
see tin"
above
D.
Branch Circuits
Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or lIith 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
5% State Surcharge
TOTAL
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