HomeMy WebLinkAboutPermit Electrical 1998-11-10
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The following """.....
zoning, and d:;:;';;';j Illlllllbrnltted has the.............-
aPProval. 18CIU/m apt>oi1ic iand ;;;;j"" 'V
Zon~
225 FIFTEi STREET Dete (\-, 0 -7~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97A~S/g1l8lum ~ ' P\l~O tic f7/
INSPECTION REQUEST: 726-3~NT'ON~Or-9 reQUlresytl1ilitY Job Number ( I 0 ~
OFFICE: 726-3759 follOwrulesadoptedbyt eVlv!l~f~
E' 'cation Center. ThOSe ru~= i(if:' SCHEDULE BELOII
1. LOCATION O~;rNSTALLA, 952-001-0010 through OAR 952-0 -
2.4'2.<1 C-lfurvl'~ ,.. _~r..ablainr!\)pie!lleflttm,!ll1*ai?e~hal-single or
, ..~;J.. - enter (Note: UlelGliflpM!11:l1y per d\lelling uni t.
LEGAL DESCRIPTION ?alhng ~he ~e Or~gon UtilltyJNdlilij:alill{!luded:
/1/) 3271 z.. 0 .3 ~er_ or l'~' '1-800-332-2344). . Items
\.lOll.....,,;)
1000 sq.ft. or less
Each additional 500
sq. f t or portion
there6'f
Each Manuf'd Home, or
ModularD\lelling
Service or Feeder
B. Services or Feeders
r , Installation, Alterations
cleC+r'I'C(Yl~r Relocatlon:
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
c"'EJemporary Services or Feeders
NOli\; Installation.-/ A~WdI'{R or Relocation
THIS PERMIT SHALL EXPlnE 11-
AUTHORrZ,08LJ'/I;mJ~'9'RISL~!'i~M\T IS NOT
2'01 amps to 4Q~el{leOr.
COMMENQ,v,€rO'40'1 Ar;0'\~ 'a'ffipk . .
Y "O,OVel',"hOl3oamps or 1000 vol ts see "B" above
AN 1th UF,l t'c'H"i I,
D. Branch Circuits
JO~ DESCRIPTI~N"
"2:0.D kl n-u'
Permits are non-transferable and expire
{f work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor Al1,"r!p"",,
Address\ qS MQch:s,on
Ci ty E'\J~ Phone
4~S- CffZ 2.
?. Cf j()- 'S
Expiration Date.-!D- I-,t').~.~:
Constr Contr. Number irz.c, (0
Supe~visar License Number
Expiration Date' 12 -/0- CfCf
Signature of Supervising Electrician
~I?~ .
, I
Owners Name-B'('I(U~lJLLO~~
Address 247C1
Ci ty S. pfl cJ
01f'ec., \/(C'W
Phone
OIlNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or ren t,
Ovners Signa ture':
-------------,--r.--------~--------------
DATE: (II /Dlf X
RECEIPT #: ' , (/ ) 1- fJO ~ /J
RECEIVED BY: ~ ~~
,
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
so. 00
$ 40.00
$ 55.00
$ 80.00
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE SO. OD
5% State Surcharge 2.-rv
3% Administrative Fee 1.t.'7J
TOTAL .~ 'f. j'b