HomeMy WebLinkAboutPermit Electrical 1997-5-14
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225" FIFTH STImET Ci;C(00'- L<!.-iJ
SPRINGFIELD, OREGON 97477 fH' ,....l-'P''' r; ---i ,,_ 0 n
INSPECTION REQUEST: 726_37'619"1v,"..-'.A .::>,g:f~."_._" . ,L.----Ci-t.y-Job Number
OFFICE: 726-3759
1.
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LEGAL DESCRIPTION
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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.'
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling un'i t .
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 15 trl)
Each additional 500
sq. ft or portion A do. tJ>
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALl.ATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd St.
Ci ty Madras
Phone 475 - 2 1 39
Supervisor License Number 1006S
Expiration Date
10-1-9~
Constr Contr. Number fl874S
Expiration Date
9-4-911
.
Signature of Supervising Electrician
, Ye-&-~,_~~"--~
Owners Nant ~Ltrfg f\
Address~ . ~q~ \ ~() ~rvj
City ~[}CJt~_~ Phone
OWER \J&ALJ..ATION
The installatioh is beirtg made on
property I own which is not intended
for sale, lease or rent. '
Owners Signature:
DATE~----------~---"---5~ff-qJ-----;-
RECEIPT i: ~ I {,>, ~ ~- \\fn
RECEIVED BY: ~_, 0',..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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000 volts
$ 40,00
$ 55.00
$ 80.00
see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Ser~ice
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (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 1/61)0 .
5% State Surcharge ~,~6
?]eJo --... ~- L/6
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