HomeMy WebLinkAboutPermit Electrical 1999-11-4
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SPRINGFIELD
The following project as submitted'has'the followmg
zOning, and does not require, specific land use
. approval. LO VJ ,
, . zoninll;,-.,-;::;~-\-,;:;,: ,\:~l~'~r.,""" 'M~' lIresyoUUt"I~Lt'.
. , D t I_II....", ,L, cae ~ ~..ml~r'i1W the Oregon II Y I
I a e l:J,. - - ,~' 'u1es are '"'0.+ fnrt ,
225 FIFTH STREET . ~)".,,,,..~t'lon Canh", 110se t , , 'EL;ECTRICAL
, d~!dthOOlP.fh::Stgna.ture ' "l'llR !:}bG:'~UU I"
SPRINGFIELD, OREG N';f"'TI. OAR 952-uln-' J) iu l:"u~\J"""':' ,_.,Ip "
INSPECTION REQUEST: 726-~cfiJb You may (J~tain cople& of th'ChYS ~ ob Number
OFFICE: 726.3759 ~ailir.g \lie centm. (No!,G: tiletele.~hOI~e_
, umber for thE; Oreg1,;;-, UCOIi!,llE:r,EaFEE SCHEDULE BELOII
1. LOCATION OF INSTALLATIollcen't6r is ,-800-332-2,3<14). : . ,
,1790. .{j/rAG /0(;:::;: p./l... . A. NevResldentlal-Slngle or
Multi-Family per dvelling unit,
Service Included:
LEGAL 'DESCRIPTION
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Olbuo
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JOB DESCRIPTION
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Permits are non-transferable and expire.
if vork is nof started vithin 186 days
of issuance. or if vork is suspended for
180 days,
Signature ofSupervis}ng Electrician
A~~
Ovners. Name
. .
/Fo56" gop- 0
Address
j;> '70 C/7ic'teo/? (-f- ,04-
City 5t1'.I"'LO
?'T7 ~/jr
, Phone
OIlNER INSTALLATION
The inst~llation is being made on
property I ovn vhich is not intended
for sale, lease or re~t.'
Owners Signature:
----.-------7-~h------------~------~-~~
DATE: if 1//17. .,
RECEIPT jI: _ iJ.J c,., 6 'i' b II /..1 /7
RECEIVED BY: . .0A yv fI./
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PERMIT APPLICATION .
f1/J2Z-
1000 sq.,ft. or less
Each additional 500
sq. ft .or portion
thereof .
Each.Manuf'd Home, or
Modular'Dvelling.
Service or Feeder
.C.
Items
Cost
Sum
2, CONTRACTOR.INSTALLATION. ONLY .B. 'OOfH3&l\~O<{)l'j~~ers .
. ....~""".,~"N\f8JAA\,i\J..l:iI..t.~IJINd8terations
Electrical Contractor '/>,#,(,f' 61Z1"""""'~:N.U lb'i'Iljl,'l,/:l:ljH/'fl'd'h':
. , ,'. 10NSIIlWl::I3dSIHlt130Nn03Z1t10Hln\f
Address .55// ft7/'>//V . }IUYAJlll:l13l::1ldX~~11n~~~d~famps,. /
Ci ty 5/"/2,0 Phone 7.2s b/O/ '. 401 amps3tQIJ;GNamps
601 amps to 1000 amps
Supervisor License .Number 30 J-75 Over 1000 amps/volts
I I 'j Reconnec t Only
Expiration Date /C? / tl.
Constr Contr. Number ~ ;;!.5ol;
Expiration Date .~b/ 03,
$ 85.00
$ 15.00
$ 40.00
$ '50.00
$ 60.00
$100.00
$130,00
. $300.00
$ 40.00
50. 00
'Temporary Services or. Feede~s
.Installati~n, Alteration or Relocation
200 amps. 'or less
201 amps to 400 amps
Over 401 to 600 amps.
Over 600 amps or 1000
D, Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
. Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Addi tional
tircuit or vith Service, .
, or Feeder Permi t ' 2 $ 2.00
?,o{)
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res.
Limited Energy/Comm
E.
5. ~UBtOTAL OF ABOVE
~%'State Surcharge
,3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00.
$ 36.00
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