HomeMy WebLinkAboutPermit Electrical 1992-1-24
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225 FIFTH STREET .\\~~~,,'i;~'" ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ",'I."'~~Zo;~,',10 . (J'~
INSPECTION REQUEST: 726-3769 ,_".: ":"~:'f'" .-(~ity Job Number ~l'}{ 1 J...--.J \
OFFICE: 726-3759 ~""'. '?"ilt ~
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1. L~I~ C]kINsflUkTION DI,,:"I). / ~
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JOB 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
Electrical Contractozf;fv4?av .s;;tp.;S
Address::26 - (}.J ~11'tI P
Ci tY~7P,t/.e. Phone <f ',/,:)-4.;/7;2
Supervisor License Number Y?--V - 51
Expiration Date /- /-Cl.s>
Constr Contr. Number ,/tJ7S'!
Expiration Date 12- /V' 9;;2-
SZ:~s::e;z
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Owners Name,M1.:r' ~,?(;7riA)
Address :2 A -~./ 2o:)i _ rl C7/
- - /
CitY~~4A~_ Phone
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OVNER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
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RECEIPT I: ., "~ J~
RECEIVED DY: ~'~ f'V~ _) ,
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
C.
$ 85.00
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40,00
$ 55.00
$ 80.00
volts see "D"
above
I ,
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
S 40,00 V
S 20,00
S 36.00
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