HomeMy WebLinkAboutPermit Electrical 1997-5-14
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SPRINGFIELD
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225 FIFTH STREET z L D {2.. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 omno . n ~T\-' 1 J1
INSPECTION REQUEST: 726-3169>..5- 1~C(j Ci ty Job Number V\ ~ 1.) I WI
OFFICE: 726-3759 . ,..J "^
. Autnorlz:;j Sj9natur.--:J~::: F~-SCHEDULE BELOV
1. W~IION ~ ;INSTALLATION j
~",>Itt?- \n~()() ""---v-?'1 A. NelolResidential-Singleor
Hulti-Family per dlolelling unit.
\ ~GAL DESCRIPTIO, Service Included:
KI)7D/r17J Items Cost Sum
C\ ,JOtl DESWPTION
0\- '( Q 1')\(10 nC'L
\\00... ?}!f
Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
1000 sq.ft. or less $ 85.00 8S
Each additional 500
sq. ft or portion :.L :3il
thereof $ 15.00
Each Hanuf'd Home or
Hodular DloIelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd St,.
City Madras
Phone 475-2139
. Supervisor License Number 1006S
Expiration Date
10-1-9a
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number 6A74~
Expiration Date
9-4-9'1
,
Signature of Supervising Electrician '
L2/LA/.~~4~~~
Owners Nanl.dth'lM fu~ .
Address ~ CEO 5trui
City ~1Jft. Phone _""H4.lA (do
~STALLATION
The, installation is being made on
property I Ololn which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~----------~--~~-\~~~'lI------
RECEIPT. II: U , '\c~~~
RECEIVED BY: U\~--..J o'J
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
200 amps or less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see nB" above
Nelol, Alteration or Extension Per Panel
Hiscellaneous (Service/feeder
-Each installation
.Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or loIith Service,
or Feeder Permit
E.
5.
,
SUBTOTAL OF ABOVE
5% State S~rcharge
~ :s<l>.
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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