HomeMy WebLinkAboutPermit Electrical 1993-6-23
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 l..-~~
OFFICE: 726-3759 M)'?:;!.o,~
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1. LOCATION OF INSTALLATION '.~ f10
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LEGAL DESCRIPTION
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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 Contractor_-!e.GK... c t" /, <:. r~
Address fC), tf-.^J.- /~\-
City ,~"";") Phone ?y?-<;-j('(., V
Supervisor Licen.se Number I ~ CI <:; /t f: 'I .
Expiration Date ,;)-</, q <{
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Constr Contr. Number .;:20 -z.,:Z;&. ('
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Expiration Date '1- .:l3 - q 3
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Signature of Supervising Electrician
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~rs Name -..1oD t'[ 4 c,<) <---r D<..
Add ress .y D S- AI. 3 y ,1.b
City _~?/") Phone -; Y7'~ (c, Y
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:-------~~~~-q~----------------
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RECEIvED BY: 4,A lV /lAA I,
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SP..ELD
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ELECTRICAL PERMIT APPLICATION
City Job Number
C/o?! SO.':
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
.:20
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36~0
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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