HomeMy WebLinkAboutPermit Electrical 1996-12-31 (2)
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225 .FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
~A~~N ~~QrrAION ~-f/01
LEGAL DESCRIPTI~ .
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<l ,lOJ1....DESCRIPTI~N
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Permits are non-traftsferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.'
.
City Job Number
. .
ELECTRICAL PERMIT APPLICATION
C\ 5fJl""l ~
3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
, ,., .: <,:- I. ~i
, , ..-.. an((does not roqUlro ~ ,,^-,lllV ,..."...--
zoning,
approval.
Zoni!19_LJ2('V
9~ig'3769ibl~Wt
Acthorize-:l Signa\Uro_ \J ~
Items
1000 sq,ft. or less I
Each additional 500
sq. ft or portion n
thereof , 0-.
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd SI:..
Ci ty Mad n, R
Phone 475-2139
Supervisor License Number 10065
Expiration Date
10-1-95
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number hR74~
Expiration Date
9-4-95
Signature of Supervising Electrician
..-4?~<"( . ~/yYL.a-~
Owners Nam~ @:-tG1""
Address ~qq ~(j oW g.r
City ~~rl_ Phone-=:144.1~
OWER I}lsTALLATION
The installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-----------------------qr:-------------
DAtE: \.~.;\. V ~
RECEIPT 11: . I
RECEIvED BY: '(N/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
D.
Branch Circuits
unit.
Cost Sum
$ 85.00 .&5
$ 15.00 3)
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see IIB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SU,BTOTAL OF ABOVE
5% State Surcharge
wm. 3%
-rot-oJ---
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
IIS.co
15. /0....,
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