HomeMy WebLinkAboutPermit Electrical 1999-10-26
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~ NO~t:\ee ~Cl as submitted has the following
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22.5 U.U.A STREEr AUTH~6Hiiile.tXd::J'E~'~r 8 ~CAL PElUaT A.PPLICATION
SPBINCFIELD. OREGON s:1/412.... ' J'11 r aa Q r
D1SrJlC1'ION.REQ1/EST, ~I~~ ED FOR City Job NWIlber (((0 t J
OFPICE: 726-37.59 At.,vlOt:\~AM
,.{l]~I'1(ln eel ~~ F . 3. COMPLETE FEE SCHEDULE BELOV
~ao~A~~~~~-g~T . A. . Nev Residential-Single or
t 7 0 ~. ( 00 Hule1-Family per dvelling uni t.
I AL DESCRIPTION Set'vic. Included:
7 J I C;rJ ()() 7 (j() Items Cost Sum
JQB DESC3IU'ION .
f \ ~ t; ()_A.._~ cY\ \ (\~ .,. (LLLD...,., \t c()
Permits are non-transferable and expire
if vork 1$ not started within 180 d~ys
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contrac:torSecureCom,lne
Address \~~O (X::f\S T~fE-T, 41F\C()
Ci ty Springfield
Phone 988.3585
Supervisor License Number 794JLE
. 10/01/02
Explratlon Date
Constr Contr. NUlIlber3-353CLE
1000 sq. ft. or less
Each additional 500
sq.ft or portion
thereof
Each Hanuf'd Home. or
Hodular"Dvelling
Serviee or Feeder
~.. Serviees or Feeders
Installation, Alterations
or Relocation:
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
$,85.00
$ 15.00
$' 40.00
$ 50.00
$ 60.00
SlOO.OO
$130.00
$300.00
$ 40.00
Expiration Date
10/01/00
C. TeMporary Services or Feeders
Installation, Alteration or Reloeation
~--~ ~' -..--.
.~ - ~ "..-.
D Branch Circuits
Owners Nallle!JcaJwlLL \('\OUg~l ES
(? Nev, Alteration or Extension Per Panel
Adduss b 5 5"' 5ElvI::~A
5' 6 . One Circ:ui t .
ci ty LuA N' _ 2b.o.n....... .'( r ~ / to/. Each Addit ional
- ~rn:N II '1\'"'JIC>~VIi lC:hHequireSO'iJti:tUli t or wi th Service
OVNER INSTALLATlfmloiN rules adopted by the Oregoli)tJt~e}!der Permi t
:Notification Center. Those rules are set forth '
The installation i~ ~gj8!~1J:)J!)10through~A~:~jE~tb\'<tneou$ (Service/feeder not included)
property 1 own vhiCd8~ 'PJLtrr~zyt"8~a'l~ copies ofthe'A~ I\v~tallation
for sale. lease or rt%lllng the center. (Note:thete,etli16 0"/ l~ril'ation S 40.00
.. S1 utl1ne Lighting S 40.00
Ovners Signature: numberforthe Oregon Utility Noti! fOOl Energy/Res. S 20.00
Center is 1..800-332-2344)U/llited Enugy/CO/llml S 36.00 ~l 0.-
Signature of Supervising Electrician'
Di.1i;-----idt2-'Ttfr--:--- -------
&.w:..A.Yl 6: C IJ ~ S-'i41 .
ItECEIVED BY: /7.f t )?~ V
200 amps' 'OT less
201_Lmps to 400 amps _ _
Over 401 to 600 amps
Over 600 amps or 1000 Vo!ts
5. SUBTOTAL OF ABOVE
1 % Su te Surcharge
3% Adlllinistrative Fee
TOTAL
S 40.00
- -$ 55.()Q
$ 80.00
see "B" above
'-
$ 35.00
$
2..00
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