HomeMy WebLinkAboutPermit Electrical 1997-1-15 (2)
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SPRINGFIELD
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225 .FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
Zoning L ,.....11
'...<F~ -ELECTRICAL PERMIT APPLICATION
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htO:liZ":JSign"tu"'._NY-vl__City Job Number V\~ 1 fl ~\
3. COMPLETE FEE-SCHEDULE BELOV
1. '{'CX::WfN,.Qt~NS LA TION j
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..JOB~ESCJUI1'ION
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Permits are non-tra^sferable 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 Allen Electric
Address
12 SW 3rd S1o.
City M"dr""
Phone 4 7 5 - 2 1 3 9
Supervisor License Number 1006S
Expiration Date
10-1-95
Constr Contr. Number 6R74~
Expiration Date
9-4-95
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Signature of Supervising Electrician
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Owners Na~ f./lf;
Address f?fl9 -!9) ,1YJ.rd
City~ . Phone!l:J4.bq(~
~~ ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~~~-------'---~----T""~a.1J.~--,---A-
RECEIi'i fl. > I J l-AA?{H,
RECEIVED BY: 'l, ~VJ,;.Y\
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A. New Residential-Single or
Hulti-Family per dwelling
Service Included:
Items
1000 sq.ft. or less I
Each additional 500
sq. ft or portion ~
thereof . C)l
Each Hanuf'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
un'it.
Cost Sum
$ 85.00 .P.15
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
NMI;. 34b
Wf-aL-
115.W
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