HomeMy WebLinkAboutPermit Electrical 1996-10-9
225 .FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769'
O~26~3759
1. C TION OF ;r~STAL~TION I _ t ' ,
(11 rf.))1 (J (;J j)J..... L.6i?I /37
o J
, LEGM- DESCRIPTION
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JOBDES.~~IqN .
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Permits arenon-traftsferable and expire
if work is not started within 180 days
of issuarice or if work is suspended for
180 days..
2. CONTRACTOR INSTALLATION ONLY
Ele.ctrical Contractor Allen Electric
Address
12 SW 3rd St.
City Madras
Phone 475 - 21 39
. Supervisor License, Number 1006S
Expiration Date
10-1-911
~
Constr Contr. Number 6874S
Expiration Date 9-4-9~
Signature of Supe7ising Electrician
~..d/I _ Y~L.-z,-rL--d ____~'--'---
OYIlers Na:. - ~IIHL 0Ak~<,(
Add~ess <6q~ 00. ~~nPcA" .
Ci ty t1~j tt Phon.e i li~ ~ctL,r,
OVNER INSTALLATION
The installatioh is beirig made on
property town which is'not intended
for sale, lease or,rent.
Ovners Signature:
DAT~~-------------~llJ~~-IJ\\(?------
RECEI~T~: \ 1 . :~__~ . ~, 1f\./1.A"tx
RECEIVED BY: tf~ '~J\\.'
~. ~:.
3.
ELECTRICAL PERMIT APPLICATION
,City Jbb Number '4~~~Co
COHr'LETE FEE SCHEDULE BELOV
Nei:Residential-Single or
Multi~Fafuily per d~elling u~it.
Service Included:
A.
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
$ 85.00 16.bO
$ 15.00 8o.oV
$ 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
C.
Temporary Services or 'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to '400 amps'
Over 401 to 600 amps
Over ~OO amps or 1000
D. Branch Circt;t'ts
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteratio~prExtension Per Panel
'One Circui t.
Each Addi t i ona:l> , . .
Circuit o~ with Ser~ice
or:Feed~r Petmit
.$ 35.00
$2.00
E. Miscellaneous' (Se~,v:ice/feeder not included)
-Each installatiori: .
Pufup orirrigati~n S ~O.OO
Sign/butline Light~ng ~ 40.00
Limi,ted Energy/Res: . $ 20.00
Limited Energy/~omm,' I $.j6.00
5. SWlTOTAL ,OF ABOVE
5% State Surcharge
.g;e-T-M.~ ~ 111 0
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I ~. lJ&5
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