HomeMy WebLinkAboutPermit Electrical 1999-1-14
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The fOl/owing pro'ect "
2(Jrllng, and doe~ no~~eSqU~mitted has the fOl/owing
approval U1re specific land Use
ZOning _ .J...Orz-
9747fate ) ~Jlf- '1(
726B3t]l€)9zed Signature
225 FIITH STREET .
. . ,SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
L
LOCATION OF IN~TAL~TIO~
//16 ~
LEGAL DESCRIPTION /8/7 . ,tJ..
IIO~ ::JI~ L-jq (O,(J))~'
. ra on law reqUlresyuu Lv ,
ATTEN1lQN~p{l:lW~J;,egon IJtility , ~ /J t1
follow r.U\es ~ .. ThMA rul$ a~O_RR ~ ..
NOtITlGC1UVII O~:1t~. ' h OAR 9b~.UU \. '
in cwrla~~~OJr~~~~~~titthmM~ ~Md expire
OOg[l~~YR'"Ho.iNPli.ttf\@qe~pbbliltt 180, days
a:BIlllli!ltfti.h~6b'[ l1tuff~ylNdtltics.tispended for
nUiB1bata9'"~pe. 1re~~0_332-2344).
Center IS -, ,
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor
~~~
:l~~'n
Phone 7ZJ1-15"ao
ftf~ -s
(2-( 9'r
6"5(37 Bl5
(yre;
Address /oLf'l.
City ~~
S . /.L' N b
upervlsor lcense urn er
Expiration Date
Constr Contr, Number
Expiration Date
'Signatur~.I fA~ s~upeervising Electrician
~~.
, II,' .,-- -- D.
Owners Name C'_ttlIJdNv'j" ~~
Address lllLP Urt~Lo.-Q. P;lu~
~
Ci ty 2rL (J ('~ " Phone 747 -7.JJ. ~
~Q~NSTALLATION
The installati<?n is being made on
property.1 own whi~h is not intended
for sate, lease or rent.
Ovners Signature:
------------~--7T----------------------
DATE: I/"I L_'" '1 ~ '.,
RECEIPT *: t S ~S& () . '
RECEIVED BY: r 'I . (V\t1.r ~JA>
ELECTRICAL PERMIT APPLICATION
C;' '-.1 Job Number q OJ 00 ~ I
3.
COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
CEo Items .eRst
NOT\, . ~ XPIRE If il-lE WOR
~AA~ fS.!Bl\~m .s\Ml4.~ss -f\b~'i Ic$N~' 00
Eacfl addtct4.ow.rot~m~IS ~L-.... v
sqT\-\~~\ <ffJ por~o~~NOONEO fOR
. tn~Jf~.Q,E\CED OR \, t\ $ 15.00
Each Manuf~'d)fH(jme'"'J.or
:'\ a\.I':\1 "1 Fl i t..;.~ ~r., ' "'.
Modular Dwelllng
Service or Feeder .$ 40.00
Sum
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' lOT less
201 amps to'400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
,.
New, Alteration or Exterision Per Panel
$ 35.00 3 S . c:JD ,
I
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit 2-
2.00
4,0-0
$
. E.
Miscellaneous '(Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
U 9 _ 0-"0
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