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HomeMy WebLinkAboutPermit Electrical 1996-11-25 -. .. 225 .FIFTH STREET Zoning LO /J ~ SPRINGFIELD, OREGON 97477J.... 14 -} ~ -i'- INSPECTION REOUEST: 726-3769 OFFICE,: 726-3759 Authorized Signature tJ AI. --:i l.Ullr bETH ViE SCHEDULE BELOV 1. ~i1^T~N, ~Jam~~:ON ~f-//? LEGAL DESCRIPTION I ~ ll?/Olb ,?- O~bO JOB JlE~PTION h.}.KJ'1, . ELECTRICAL PERMIT APPLICATION City Job Number 4G!'J ~o;; A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum 1000 sq.ft. or less $ 85.00 1;,10 Each additional 500 sq. ft or portion ~ ~6.blJ thereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 Permits are non-traftsferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days.. 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Allen Electric or Relocation: Address 12 SW 3rd St., I I. CitY_M"t'lr".c: Phone 475-2139 . Supervisor License Number 1006s Expiration Date 10-1-95 C. Temporary Services or'Feeders Installation, Alteration or Relocation Constr Contr. Number fiA74~ Expiration Date 9-4-95 , Signature of Supervising Electrician t/~.4~/- ~/VU4~1 Ovners Name ~ W. Address ~4t{ t?b .?;~ /lk-. City ~PHJ.. Pho~eJ(,q&(,_ 'V . OWER INSTALLATION The. installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE~------------------"i\Jr.:)~--~ RECEIPT j: \. l 'I']..()('( V RECEIVED BY: \l'~ro_i rAJ V V 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 D.. Branch Circui ts $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 volts see "8" above Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service 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. Su:BTOTAL. OF ABOVE 1/17.02) 5% State Surcharge ct."7'1 'ro'1t\L :3 ". / tJ ?, .Llt:; ~ t~4~