HomeMy WebLinkAboutPermit Electrical 1994-3-14
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e 0 aw ng pro ect a. submitted has the f
zoning, and does not require specific land u
approval,
225 FIPTH STREET Zonln LnO
SPRINGFIELD, OREGON 97471 g
INSPECTION REQUEST: 726_376IJale.3-14-Q'-l City Job Number 9o/"~~7"
OFFICE: 726-3759 Authorized Signature co.,
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1. LOCATION OF INSTALLATION
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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 1BO days
of issuance or if work is suspended for
lBO days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor /71t1"'7~'
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Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
ELECTRICAL PERMIT APPLICATION
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni to
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
$ B5.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or"Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
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Owners Name#.N.AA'5 ~~.5
Address "9'~ eP~.Ar".At L./"-
Ci ty~ C;;:? Phone7Y;:>~98
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OIINER INSTALLATION
The installation is beiog made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
3111-t 11\_'-'
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circui ts
$ 40.00
$ 55.00
$ BO.OO
vol.ts see "B"
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~ $
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
TOTAL
.-- $ 35.00
~~
2.00
tlS_/:JrO
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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