HomeMy WebLinkAboutPermit Electrical 1993-7-17
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225 FIFTH STREET Date (-I1-"l~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97~~SIgnelurI' klr'\l1 .
INSPEctION REQUEST: 726-3769 'e: ~y Job Number q 50 9 3 ~
OFPICB: 726-3759
1. LOCATI9N OF INSTALLATION
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.1.
. LEGAL DESCRIPTION
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JO'B DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor--DLVnN rl rrTRTr
Address
1130 BAILEY HILL RD #24
. City
FIIGFNF Phone 144-<;1Q<;
Supervisor License Number
Expiration Date
36145
10/1/95 ..
Constr Contr. Number
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fifiRQ4
Expi'ra tion Date
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signa~~e of Supervising Electrician
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o~rs tJne ~d THal.J~/t:lJ SOA)
Address C~ ,A. A..~ ~"'.2..z...
City~& '?.7.tt;S' Phone
oiINER INSTALLATION
The, installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: ' } l T~rL15---\-:,-;:"-!-,::-
RECEIPT I: '\ 'f.,.}V'4/
RECEIvED BY: <... ~).!_Y"--)
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less &.-- $ 85.00 ~S.OO
Each additional 500
sq. ftor portion /35".i!1'O
thereof -L- $ 15.00
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
~01 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
$ ~O.OO
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
.200 amps or less
201 amps to 400 amps
Over ~Ol to 600 amps
Over 600 amps or 1000
$ 40.0f)~ ?
$ 55.00
$ 80.00
volts see "B" above
D.
Branch circuits
.,
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
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