HomeMy WebLinkAboutPermit Electrical 1998-9-29
~
,I
I
A HI\Notification Center. Those rule; fort~.L
UTHORIZED UNDER THIS PERMIT IS NOTin OAR 952-001-0010 through ("1 u.F
COMM,ENCED OR IS ABANDONED F()~, ~~,90.a'!9M~Raiim~f the rules by
ANY 1 eo DA v PERIOD Tretc';11bwl~~~es~~~~: the telephone
225 FrITS - S;;E1C'S:'~'f~~ti;i!~t:;~~~~~i:~j~jr{i~~~~~" APP "GAF;'!,~;~i. "",;~:~'"
SPRINGFIELD, OREGOl':l:'tQ~7,~/h;Z~, ,,< ZO~!'~'h ~ ,';,1 ,/, "'';;''''''4li''l:;~~~;;i';\ r-'i"'j!tl'l;t*;;:'r:;Fi';^tJ.i~f?''i:'f'P'1,\'~,''~:r ,'~\.:J'"'~~'';' cV)'~''';,-, "
IN CTI REQUE'" . '.I>~~~t~'~hffJ:~~~~t~ i736,:b flf:(:~:''''.-,;~~_ ~,"~,,;~l. .;:l'\'.<~;'~~*. J; 'i;~.. "': f..~;j_j-':~'.;;~l;'f'.,. "~-'~~;~.?~,:.~~.i,b' ,~, "Nl'i. -. '. ~,,-;'
. .. ,'fJ} , :~: ~;,~, ~'1-;i'~:~" -,._~. i,,'~?,l~.~::L;\~~I'J~~~ (.~.7.\ ~
S P E ON S1'~'i~~(I"!/:Dor>;j '(~rtlflllJ' I"~:': ".; ,Y:\'!,~,:!\" )"{;,~.,,j;;j;"!>,"C,<,~';t!tt,,~ ,J:' lJ[~\;; ;,;)q ,.i..." Ul!L~e..f"':i,,;::" ,;, ''0i,!,<,V.d:.~; $f0 :",;. :,~~:.;;~.'L,ii,,:,
,}o'!B,::f;; ;~.":;"IJ
OFFICE: 726-3759 ae - ,I '^0
Authorized SlgnatUl'El-l-' S. l-vrlPuTE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
r~:iJq9 ~ 1..1:'" ~, ~-'L)
,- - J
LEGAL DESCRIPTION , ~
II 63 24- 41 03 /) f){
JOB DESCRIPTION
~ J,,,.. -;;t; ~('
Permits.are non-transferable and expire
if work is not started within 180 days
of issuance or if work is su~pended for
180 days.
A.
New Resi6ential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof '
Each Manur'd Home, or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
S 85.00
S 15.00
S 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
, _ ~. Installation, Alterations
Electrical contractor~~T~or Relocation:
Address PO~~'J , 200 amps or less
_() - I' 201 amps to 400 amps
Ci t:('h~~ fJ ~~, Phoncl.lk~ ~ /hfl 401 amps to 600 amps
I. - I 601 amps to 1000 amps
~upervi~)r License Number /~q~ ~ Over 1000 amps/volts
Reconnect Only
Expiration Dete /0-;- qi
Constr Contr. Number r~KcJ I "
Expiration Date q - It.{ -- od
S . f S " El I . .
19nature 0 upervlslng ectrlclap
,7~~J
v -
Ow'ners Name
,J ~J L)~O~
-~ . - ~-
Address
City Phone ")A~ ' ~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale,' lease or rent.
OWners Signature:
---------------------------------------
a -~c.,~q cJ.
d6~
DATE:
RECEIPT #:
RECEIVED BY:
C.
S 50.00
S 60.00
$100.00
$130.00
S300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circui ts
S 40.00
S 55.00
S 80.00
volis see "B" above
New, Alteration or Extension Per Panel
"
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
-L
s 35.00<"-?.~~
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
-~~~'
- I A:S
t 05
~'J YO