HomeMy WebLinkAboutPermit Electrical 1992-4-20
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'01101. Oes nOt a. SUb",.. ELECTRICAL PERMIT APPLICATION
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SPRINGFIELD, OREGON 97477 Zor,i Gspeci~~.I"efpil .
INSPECTION REQUEST: 726-3769o.al1> n {;1t'}dC49Y/V'Number 9//??~2.
OFFICE: 726-3759
225 FIITH STREET
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1. LOCATION OF INSTALLATION 9n~u~
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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 ~,.~~~~
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name 7~~ ?:~/~
Address ~~
Ci ty ~~ Phone .6~";;~(')Y)
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIPT I: ' i-f2.,,'(,o.{
RECEIVED BY: l-\:Jt"l
SCHEDULE BELOV
w Residential-Single or
Mult - 'ly per dwelling
Service Inc ed:
uni t.
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'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
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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 "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi t ional
Circuit or with Service
or Feeder Permit ~ $ ~.90 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~ ='"
5% State Surcharge -..; ~O
TOTAL /-, 9. 3~