HomeMy WebLinkAboutPermit Electrical 1996-11-1
-'. . ".'_" '09 project as oubmitled has the following
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. liQCATION Pr ,INSTALLATION -L
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LEGAL DESCRIPTION
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JO,B DEScv;rPTIqN
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Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling un'it.
Service Included:
Items Cost
1000 sq. f t. or less { $ 85.00
Each additional 500
sq. ft or portion 1.-
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 SW 3rd St..
Ci ty Mad rn"
Phone 475-2139
Supervisor License Number 1 0065
Expiration Date
10-1-95
c. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number nR74~
Expiration Date
9-4-95
.
Signature of Supervising Electrician
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Owners Name~ c;J.
Address ~4a .~. 1J:Y:J 4t.
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CitY~L. Phone_1L/U,(A(p{p
OVNER INSTALLATION
The. installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------7T----'/;-------------------.--
DATE: 11-/- <dh
RECEIPT II:. A.-snf; I
.~ ~ RECEIVED BY: ~
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 volts
D.
Branch Circuits
46'0 ~b4
Sum
fl?411
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$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SunTOTAL OF ABOVE
5% State Surcharge
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$ 40.00
$ 40.00
$ 20.00
$ 36.00
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