HomeMy WebLinkAboutPermit Electrical 1992-1-2 (2)
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225 FIFl'II STREET <J.i>\I(~-rj$'II'i>
. SPRINGFIELD OREGON 97477 ,,,,~.{t!J'i:l~,jll ,
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INSPECTION REQUEST: ~~~~t.49'\~'"
OFFICE: 726-3759 ~t'\1\'i"t'
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1. LOCAT~ OF INSTALLATIilN 'k
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LEGAL DESCRIPTION ~'
17"'~.27'~-;Z_ L),,?.€t>c,'
City Job Number q :<,,-.--.......Z
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 B.
Electrical Contractor Q,1 S fi1l'tJ\.uI \ aIM.>,
Address P.D. ~ /4'XL
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Ci ty~ . Phone..1i1...::.i 1.3!n
superv~sor L~~ense Number 110 g (.., S, '
Expiration Date /0 - 1- q 1-...
Constr Contr. Number () '3 24~
Expiration Date q -I-q~
Signature of Supervising Electrician
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Owners Nanie3AQ/'(\f\.!..AU P-tiLJ
Address_lll55 ~i\JJll1Ll
Ci ty~~ rt, Phone.:11.l:, - '7~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE: . /-"'2- "j1 "
RECEIPT II: ~ l-/ n.
RECEIVED BY: /;(: ," _ -z
-F
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
,Each additional 500
.q. 'ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
,Service or Feeder
, Services or Feeders
'Installation, Alterations or
Relocation:
200 amps or less --L--
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
unit.
Cost
Sum
, $ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50,00
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
'Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
LiinitedEnergy'tComm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5'0,00
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