HomeMy WebLinkAboutPermit Electrical 1999-8-2
f
! .
'fhe 0 owing projecl as su ml
zoning, and does nol require 'specific land use
,approlial,. C~
ZOning '1S ~;).. _., '7 NOTICE:
Dale 1G..J,)
AulhorilJl~if~fufJI STREET ' THIS PERMIT SHALL EXPIRE IF~AL PERMIT APPLICATION
SPRl1tGFIELD, OREGON 97477 AUTHORIZED UNDER THIS PERMIT IS NOT
INSPECTION REQUEST: 726-376ceOMMENCEDORISABANDON~I1Job Number 9? - C>~ S-9'
OFFICE: 726-3759
ANY180DAYPERI~D. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
~ 5"0 13e.It-h;;-e. R~/tD
, A.
LE..GAL DESCRIp);I.ON
l70 5/ )00 () 'L'fo 0
Sign(!~Of~~rviSing E~trician
o{l:~s Name ~~ 15
, Address ? 10s /3/1-/07 t/ I c;-w
Ci ~y c:; f) t-J Phone 7t( 6- 8Lr Lfc...(
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~-----------------------~--i-~---------
DATE: " .'$ IZ/ 17 /
RECEIPT tf: (}"3)"0? r I' I / J
RECEIVED BY: V VVPl1./"
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit 7
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
JOB DESCRIPTION. 1000 sq.ft. or less
OF-FILe f3(.IJ0. 5E,eu'/~G Each additional 500
" sq. ft or portion
Permi ts are non-transferable aHillTi61SpUS:Uft.7!:1IJ!I :atJ~gti~!?!s VOUll,
if york is not sta,rted vi thinfaJOOv d.S.padopted b"'~... hJM:f:Jl.v.top~'t~ome, or
of issllance or if york issu~pti~4Lrt@~nter. Thos~p~g~~feR~A' ,ht,ng
180 days. . In OAR 952-001-0010 thro%gliTIAA 952- &f.der '. $ 4b. 00
. '. 0090. You may obtain Ciies of the fulec h\i
2. CONTRACTOR INSTALLATION ONMlling the cent~ iN ~:lxeW~ 8-r Xeeders .
numberfQfthe.Oregon nr l'~e18B, Al tera t lons
Electrical Contractor :::;='A..JFl NtT ,(' rli"4f(g1_800_~32~~2j.~)~RF!~<?n
Address ~ 3 3 ;J. (}... . N C. ;Q../T4r 60 f"J ;QP" 200 amps or less
. . ' 201 amps to 400 amps
City /3rl/sl.... r/,Q(ir'-<- Phone.5'o3 ?'o 9 css3 401 amps to 600 amps
bU /1-. 601 amps to 1000 amps
Supervisor License Number ;<08') ..i Over 1000 amps/volts
/ ! Reconnec t Only
Expiration Date /0 tJ/ Z) I
C. Temporary Services or Feeders
Constr Contr. Number '3&Z8fJ Installation, Alteration or Relocation
Expiration Date 7/,?/OO 200 amps"or less 1 $ 40.00 'I'~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps . $ 80.00
Over 600 amps or 10QO volts see "B" above
5.
SUBTOTAL OF ABOVE
19b5tate Surcharge
3% Administrative Fee
TOTAL
Cost
Sum
S 85.00
$ 15.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
31)0 !::E
,.
tJ.<.J
$ 2.00 !.J
not include~)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
"3 sy ~
;z., 5 t;i ()
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