HomeMy WebLinkAboutPermit Electrical 1999-11-22
~ul-14-99 09:l9A
P.Ol
I
225 FIFTH S'l1tEBT
Sl'lUNGFIELO, OREGON 97477.
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF. IN~~LATION
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LEGAL DESCRIPTION
/ 7~Z*'3/~o '700
QM
'1- r' "\ "'1
(I -- '?-,;J
ELECTRICAL PimHIT APPLICATION
City Job NWIlb~r <9~/LJ9~
3. COMPLETE FEE SCHEDULE BELOV
,A. Nov ~esidential-Single or
Multi-Family perdv~lling unit.
Service Included;
It ems Cos t
Sum
JOB DESCRIPTION 1000 sq. ft. or loss
C-AI/L;D ~?~~r""""~1;Y/6?f Eac:h.addit1onal SOO
. ' , . . sq. ' ft or portion
Permits are non~transferable,and expiro thereof
if vorkis not started within 180days Each Kanuf'd HOllie. or
of issuuce or if 'Jork is suspended for Kodular.'Ovelling
ISO days.' SerVice at Fe~er
2. CONTRACTOR INSTALLATION ONLY .8. Servi<:es or Feeders
Installation. Alte~ations
Electrical cor'ltt"aetorAlert' Electric, Inc .or Relocation:
S 85.00
$ 15.00
. S 40.00
Address 197-0. 28th st
Cit)' Sprinafield Phone 747-2Z13.
Supervisor License Number 2.4 3 S
, 200 amps or less
201 amps to 400 amps ~
401ainps to 600 amps
601 a~ps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
~
Expiration Date
10-01";01
COMtr Contr. Number
Ex >irat1on Date "
2055C
C. TemporaryServicc$ or Feeders
Installation, Altoration or Relocation
'-
'5-22-01.
200 amps' 'ot" l~s $ 40.00
201 amps to 400 amps - S 55.00 .
Over 401 to 600 alllps $ eo.oo
Over 600 amps or 1000 volts see "B" above
ture of uper:vising Electrician
/;~_. .
I D
Owers ,Name 0~ ,:/~ /~U7/ ~~
Addres5~~5' X#~~~
Cit)'~~Phone~Y7-/~~/ .
. owER INS?2tf~~ ' . .
The installation:ls being Ilade on
property I ovn which is not intended
for sal~. lease or rent.
8ranc.h Ci~eui ts
,.
tlev., AlteratioJ'\ or Extension Per Panel
One Clrcui t S 35.00
Each Addi lional .
Circuit or vlth Se~ice
or Feeder Permit ~ $ 2.00 ~
Owerc Signa lure: ,
E. Kl&cdlaneous (Service/feed.r not ineludc~1)
-Each ins talla Hon
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Urn! ted Energ)'/Conln
$ 40.00
$ 40. 00
$ 20.00
S 36.00
-------------- .--- -----, _ ,.....,. -------------
JlATE: 1.1...,"2-;.~9 -'
REef-IFf" f: ~9~A'~.
RECEIVED IlY~;/f~
5. SUDTO'l'AL OF ABOVE
'l~StC\tc Surchar(\e
3Z Ad~ini~lrativc Fcc
TOTAL
:...~'3~~
_,_.li;w~
7 . ~Lp.
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