HomeMy WebLinkAboutPermit Electrical 2002-7-23
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225 FIFTH STREET . 0<1-00, ,0 ~ .LECTRICAL PERMIT APPIJCA nO:-l
SPRINGFIELD. OREGON 974!f':", <> tX1
INSPECTION REQUEST: ~9 / I.... City Job Nawbu/)2. -(JiJ.$ 7~ -tJ /
OFFIce: 726.3759 ,~o .,<> >..,"
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1. LOC"-TlON OF 1Ns:r 1ATIO, ,
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5G00~S~nONO~
1. BDES lUP ON . $~
PermilO are nOll- erablc and expire
if work i. not sWled within 180 days
of issuance or if work is suspended for
180 days.
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2. CONrnACl'OlUNSTAI.LATION ONLY,
Electrical Contmctor <;;:(01';<'41../( ELM
Address ?f7 '7c...."e4:. Q..<.u.
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City.:2u-r'T'lLb _Pbo.ac 6Etf ~6'7;G
Supervisor License Number .J- '100 ~
Expiralioll Dale I 0 ~ / - 0 ~
Constr Contr. Nwnber :La - / <ft;L e...
Expiration Dale I 0 ~ / - O?
Si~f S~pervisiDg ElectriC,iall
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Owners Name!&.A'cC M~r
AddrO$s 3:1 7~ 4Af'.Y fhLL
City_ EuAIW~ fbOD.~-9tJe
OWNER INSTALLATION
The installalioD is being made on
pTopeny I own which is Dol intended
for sale, lease or rent.
Ownen SJgnamre:
no: mIHSIjJ
: 38NljHJ
~6.~~8~ $ G:aJ3~ lWIj
lOOl ~O 9nlj: 3H!G
~B~O~OO-~O:#SNIj~l
A. New 1U>ldeDdaJ-SlDele or
MaW.Family per d"e!IiIlc unit.
Senice lDcludcd:
1000 sq.ft. or less
Each additional 500
sq. nor portiou
Ihcrcof
Each Mallufd Home or
Modular Dwelliog
Service or f ceder
B. Services Or Feeders .
JnstaUatiol1, A1t....lioa. or
Relocation:
200 amps or Irs.
20 I amps to 400 amps
401 amps to 600 amps
60 I amps 10 1000 amp.
Ova 1000 amp5lvolts
Roconneel Ollly
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Items CoSI Sum
..1- 5106.00 JI1,p ,CO
~ 5 19.00 ~~
5 50.00
563.00
5 75.00
5125.00
$163.00
5375.00
S 50.00
C. Temporary ServiCCi or Feed.en
InstallatioD, A1lerarioa or Reloc.tlon
...J.. 550.00 .:sf) , et:J
569.00
5100.00
200 amps or leu
201 amps to 400 amps
Over 40110 600 amps
Over 600 amps or 1000 volts t.ee
liB" above
D. BranclJ Cir<wts
New AltentioD OT EXlension Per Paael
One Citeuil 543.00
E""h Additioml Circuit or with SCTVicc
or Feeder Pennil 53.00
E. Miscellaneow (Servicf/fecdcr nol iDcluded)
-Each installation
Pump or itri~atioD
Si8uIOutlinc Lighting
Liwited EuergylR...
Limited l:ncrgyIComm'
550.00
S50.OO
$25.00
$4$.00
Minimum Electric Permit In.pection Fcc is 545.00 +
SW'clJa.gcs
4. SUBTOTAL OF ABOVE
7% Slste Surcbarge
8% Administralive Fee
TOTAL
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