HomeMy WebLinkAboutPermit Electrical 1997-3-11
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. L9CAT~ON OIhIN~TALLA]'ION _I -/
?J1r,(P ry/') , NtlUJO{Jttl.,,'T / / lJ
LE\lAL DESCRIPTIOti.
I r, o'l..O(P I~ OdCJ(J()
.JOlt DE~~PTI~N
?f. IUS.
Permits are non-traftsferable and expire
if vork is not started vi'thin 180 days
of issuance or if vork is suspended for
180 days.'
ELECTRICAL PERMIT APPLICATION
City Job Number q6()g{)0
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
, ( $ . ~6,ot
1000 sq.ft. or less 85.00
Each additional 500
sq. ft or portion ~ ~.1. D1l
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Allen Electric or Relocation:
Address
12 5W 3rd 51:.
City Madra"
Phone 475-2139
I'
I
. Supervisor License Number 10065
Expiration Date
10-1-95
Constr Coritr. Number 6R74S
Expiration Date
9-4-95
Signature of
t:?Le_./1
Supervising Electrician
?l
Ovners Name
/~.
Itell\. . 4)d .-
Address. ~tl~ . ~~.,g
City~ rJ.. Phone "1tJL/.{,t:,(,~
~NSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~ATE~----------~~--~~~Tl-L:T--;--------
RECEIPT. 11: (L " A'4..\T
RECEIVED BY: !7'H'P,,-'/ tJ.;"'\- -
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
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL.OF ABOVE
5% State Surcharge
..:1=OT Id. ?) 6] t .
~
$ 40.00
$ 40.00
$ 20.00
$ 36.00
lit? 00
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