HomeMy WebLinkAboutPermit Electrical 1997-2-21
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SPRINGFIELD
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225 FIFTH STREET approv"!. " ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoninq LD r2-
INSPECTION REQUEST: 726-3769) ') ( _L 1 Ci ty Job Number
OFFICE: 726-3759 Dato.L",::..(.i~f
. AC1ho,izcd Signaturo'-tJ-.M COHPLETE FEE SCHEDULE BELOV
1. Ip~TIOfi. OF ~STALLATI~ , -.
'ifI1f) '?~. -uA lJJ(JfJlL 1M.4 i-/ /2- A. New Residen tial-Single or
Hulti-Family per dwelling unit.
Service Included:
L,gGAL DESCRIFTION
I X ~Ul('I'rtJ?t4an
JOB ~~~I.qN
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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.'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Modular Dvelling
Service or Feeder
Items
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd SL
City ~ '"f'''
Phone 4 7 5 - 2 1 3 9
, Supervisor License Number 1 0065
Expiration Date
10-1-95
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number hR74~
Expira tion Da te
9-4-95
,
Signature of superv3ring Electrician
.t:?/~ ,~c:] ~4': -'CT1~1_4::J----.
Owners Name ~~it n C; t1+ .
Address WM tJo.?]~ 1.1t.
Ci ty~., Phone iL(t./'{JC(&f,
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~:--tK~~~?/5.
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
4t?D1C(Q
Cost
Sum
$ 85.00
~, "i)
1.--
~."3
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see' "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE
5% State Surcharge
.,.IO'l.'AL'- ~dJ& '
17-Ird
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