HomeMy WebLinkAboutPermit Electrical 1994-10-18
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~25 FIFTH STI;m~ .. ... Zoning L---
SPRINGFIELD, OREGON 97477 lO~\\/~~(
INSPECTION REQUEST: 726-3~ I
OFFICE: 726-3759'... Authorized SignatureY0'-
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1.~~TI~F ~LATION
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JOB DESCRIPTION
1- C~u...\ -~l~-S .
__~_Permi tsar~../non,-transferable and expire
if-worl( is not started wi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~ ~~)~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
.1
Expiration Date
Si~a ure of S pervising ~ctrician
_ . ._ -;;ll~~
... Name /~~ Lu ~VN
Address 96~ ~ 3.1-; ,(.
CitY~~~h~ne 7if--/.:>-Z/3
OVNER INSTALLATION
The installation is being made on
propert I own which is not intended
for s ,lease or rent.
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RECEIPT #: i0/Z-'7!.
RECEIVED BY: ~
ELECTRICAL PERMIT APPqCATION
City 'Job "Number q4/~~
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.~t...oF less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
.$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
~emporary Services 'or~Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to ,400 amps
to. 600 amps.
amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
I
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
/ $
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40.00
40.00
20.00
36.00