HomeMy WebLinkAboutPermit Electrical 1993-2-1
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225 FIFTH STREET ai'p,,'vn;. (
SPRINGFIELD, OREGON 97477 zcn:cr..._U
INSPECTION REQUEST: 726-37~9 2-::.-1 q S
OFFICE: 726-3759 alE - ~ ')
Alrtholl2.adSignalure ~J, \:.vnrt.r;TlS l'EESCHEDULE BELOII
1. LOCATION OF INSTALLATION
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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
MAI1.JC. ~sf"f.tz..
Electrical Contractor r::uPli,vt C;!Y'?Q)7
City Job Number
New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
B, Services or Feeders
Installation, Alterations or
Relocation:
Address
/2.1 0 tlklC-r' ~vrl fZ-I7,
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Phone 49<)-5""!i~
Supervisor License Number 4-(p l> Sr:
Expiration Date
J-(~-"'13
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
62qt)7
{2- "2--0 - <'f)
Signature of Supervising Electrician
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Address IRCd1 ~ ~'fm 0 r-~tw
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O\INER \N~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~---r~lJ.R ~oi)- . ~--------
RECEIPT it: ~ " r I ,-",/ JAi-
RECEIVED B..,:-==1 J) (I)" -=-'
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
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 Lightinp: ON.t- $ 40.00 40.-
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5, SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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42-.(5)0