HomeMy WebLinkAboutPermit Electrical 1994-6-20
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225 ,FIFTH "..,,,..,. ZonlnQ LDa. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 r. In fUAfY711
INSPECTION REQUEST: 7.26-376~ /J; ;C;y Ci ty Job Number ~
OFFICE: . 7.26-3759 AuIhorDd ~ tJ-r:^-
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LEGAL DESCRIPTION
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Permit~ 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 B.
Electrical Contractor t-ff-o.K.:<.. I,-i,:..
.... .--,
Address .'>::....::.
_ / D'I>. /1,
:; . UL-" VI..
Ci ty .s;. P.('D
Phone .....)+1 - II (.,J,"
Supervisor Licen.se Number _?'S OF? 5
Expiration Date //-9.s-
ConstrContr. Number' S'/'Lf2..],
Expi"ration Date 3-S-9 '-i
, ~!:{imature of, Supe sinsr Electrician
{Zd
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A.
New Residential-Single or
Hulti~Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof, _
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
Items
~
c9,.
Cost Sum
$ 85.00 l!lD
$ 15.00 3U
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ~ $ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
..
City
Phone
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OVNER
STALLATION
The installation is being made on
property I own which'is not intended
for sale, 'lease or ren t.
OWners Signature:
.
DATE:
RECEIPT II:
I>lU'RTVF.O BY:
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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
D., Branch Circui ts
New, Alteration or Extension Per Panel
$ 35.00
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Ci rcui t
Each AdditIonal
Circuit or with Service
or Feeder 'Permit
E.
,
5,.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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',&.00 +?2D
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