HomeMy WebLinkAboutPermit Electrical 1996-11-25
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The, following project a3 submrtted hQO tr.J' rdJ:c\'::;
lOllIng. and does not require spoc;jic :anti u",e
approval, .
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726.;3'7,69
OFFICE: 726-3759
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Permits are non-tra~sferable and expire
if work is not started vithin 180 days
of issuance or if vork is suspended for
180 days.'
ELECTRICAL PERMIT APPLICATION
c(G6MD
City Job Number
1~
COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items , Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
I $ 85.00 J!iPb
2...- $ 15.00 ~~.n
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd SL
City Madras
Phone 475-2139
Supervisor License Number 1006S
Expiration Date
10-1-95
Constr Contr. Number F;R74<';
Expiration Date
9-4-95
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Signature of Supervising Electrician
aYL!~MA--.d~'-
Owners Name ~til Vl~ CUtJ .
Addresl M~.?fVl!i /.l;L.
Ci ty V'Jptj/L. Phone 1t1t/-~q{,~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----------'-'-----\t~s~t1-------
RECEIPT \I: \1..., ""'" 1\ --;\~ ..I
RECEIvED BY: ~~ 0..%7),
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 600 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 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
5. SlffiTOTALOF ABOVE /l5.0'S _
5% State Surcharge e;."7~
);G-'l"1\L ~"76 i, .lI i::;'
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