HomeMy WebLinkAboutPermit Electrical 1994-12-21
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQuEsT: 726-3769
OFFICE: 726-3759
1. Jnr.A~TON n~ TNSTALLATIOU !
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LEGAL DESCRIPTION
C~,vtI1.fJ"" ',Z...l PIP-V\:::
JOB DESCRIPTION
IOn l~p,T Flr't<J
Permits are non-transferable and eXpire
if work is not started within 18<p days
of i~~uancc O~ if,wv~k i~ ~U~pt!N~u !UL
180 days. i
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2. CONTRACTOR :mSTALLATION ONLY'
Slee t ri eal Con teae torll: "l! C'n~J ~I ~
Address PrD . Bo 'I< (,,4 c.- . ,
<';lty~to,J. f>.r,q7s~hone 7{~Cf -ilLI') (
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O\,lpel:v13Q~' .c..i\;'t:u~t:: NI,IIlIUl;!L ./-- ~ (j) _
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Expiration Date /()-I- q,~!
Constr Contr. Number _C)'1(c1(, CJ I
Expir-ation Date /D-')/<-l- q'-j I
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Signature. of Su~~rn~n~ ;]n1:!1r
(J0JL~ ~~., j, .;-:~~-' I
~ ! D.
O....ner s Namek" \ '2 O,u C\"J "" C ~l--J " -i.WI..>
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Address P. (). 8 I" ,)<:c S- b I ,
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Ci tyJU v-~ .v- r~", . Phone "7 If ~ .-p I () L
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OVNER INSTALLATION
The in~t~11~tion ;5 b@ing made on E.
property r own which is not intended
Cor sale I lease or ren t . I
OWners Signature:
DATE;=------\~\-:~' ~-, -1~,(j
RECEIn i: \ 1''' \ l~ rr
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ELECTRICAL:PERHIT ~Pk~(,A~ON
City Job Number L1ft,. t1:
COMPLETE FEESCHEOOLE BELaY
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or 19$$ g
l:;ach addi t10nal '500
sq. ft or portion
thereof
Each Manuf'd"Home or
Modular Dvel11ng
Service or Feeder
Cost Sum
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$ 9S.00 ~()
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$ 15.00 I
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S 40.00 !
B.
Services or Feeders:
Installation, Alterations
or Relocation:
200 aMpS or les~
201 amps to 400amos
401 amps to 600 amps
601 amps to 1000 amps
Over 1000. amps/vO:U$
ReCOnnect Only
$ 50.00
S 60.1111
$100.00
$130.00
SJOO.oo
$40.00
c.
Temporary Services or Feeders
Installation, Alteration or Reloc~tion
200 amps or less $ 40.00
201 ~lllps to 4QO amps .... ..... S...55~OO - .!.
Over 401 to 600 amp$ $ BO.OO I
Over 600 amps or loov VOl ts see "B" abovel
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Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
CIL~ull uc Wltb ~ervlce
or Feede~ Permit
$ 35.00
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Mi~e~llanaouD (S~rvice/feeder not included)
-Each installation ' ~
Pump or irrigation $ 40.00 I
Sign/Outline Lighting $ 40.00
Limited Energy/Res . $ 20.00
Limi tcd Dnel.'gy/cx,hll. ~ 36.00
$ 2.00
5. SUtlTOTAL OF ABOVE
5% State Surcharge
3% Administrative'Fee
'.LVl'AL
(P~o~oD
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