HomeMy WebLinkAboutPermit Electrical 1992-1-23
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225 FIFTH STREET "~ \,~:<.\\,~ll\\' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ""('iY;~":i~\\"\'\' qIIA~C2'
INSPECTION REQUEST: 726-37~J\e.~~::;it}.'ll':.'\' , <-t I( )
OFFICE: 726-3759 \.'~\:~;}!))'. "tl.,/} 1
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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
Electrical contractorl:BYe~c, flQ0t
Address A?~~1-1- ~t'(j \\7.\ f ,~\I
City ~m Phone PF\\(')-~~4-'l
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Supervisor License Number \rJ'1 \~
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Constr Contr. Number \ ~'L. 4()
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Expiration Date
Expiration Date
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Address8:rJf)<\V\ ~_H':e.\\~ \:)l\, ,
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OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: /- 22_ -.2 2....
RECEIPT #: '<.:J~ /
RECEIVED BY: <~__:
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New Residential-Single or
Multi-Family per dvelling
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
c!:A
d
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
C.
un it.
Cost
Sum
$ 85.00
L1D
3D
$ 15.00
$ 40.00
$ 50,00
$ 60,00
$100.00
$130,00
$300.00
$ 40,00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
20l amps to 400,amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55,00
$ 80,00
see "BU
above
Nev, Alteration or Extension Per Panel
One Circuit
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
5. SUBTOTAL OF ABOVE ,/..r)llOO
5% S ta te Surcharge / n c>-.:>
TOTAL '2' / n "..,