HomeMy WebLinkAboutPermit Electrical 1999-9-8
NOTICE:
THIS PERMITSHALLEXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r,OMMENCED OR IS ABANDONED FOFELECTRICAL PERMIT APPLICATION
974TT at::; (7 U
72~1PPDAYPERIOD" Ci ty Job Number -f I/O 0 7
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
1. I LOCfiTIOlj, OF INSTALLAT~N f)
I /} ~/J (::r!l-Tl3:WIW /....M
/ I
LEGM Dj:SCRIPTION A
I7nJ'2-J.- 2-0 VI '23/)()
~JOB DESCRIPTION ~nA
^EfJ1tJ/JtiL ()FFltlC e.2-~rrt6"
, ''ll ~ /lDPermi ts are non-transferabl~ and expire
~~~~~\ if york is not started vi thin 180 days
)tV\ of issuance or if york is suspended for
180 days. '
,
, I
I;;'/////)O
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Signature of Supervising Electrician
G/'~-./' ~~.
Ovner~ ~e!i! G. C, A- .
Address /1-tJO &X r!c..U rlV&. Pk.W'-1
Ci tyttlfiel//G' Q7t/o/ Phone 1,36. gO~S'-
Expiration Date
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
. Each addi tional 500
sq. ft or portion
. thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder ,$ 40.00
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
D.
Branch Ci rcui ts
2. CONTRACTOR INSTALLATION ONLY ,fl. Services or Feeders
.;').R /1 Installation, Alterations
Electrical Contractor L.I~. 1.J!<.4-o/?/ff11E;c..or Relocation:
Address G3I tJ, "0" sf, 200 amps or less
CitySP/flIi/6F;E!/J Phone~7Lf7-66~ ~g~ :~~~ ~~ ~gg :~~~
, '17477 /11. C 601 amps to 1000 amps
Supervisor License Number ~7~cJ Over 1000 amps/volts
I~ /1/0/ Reconnect Only
Expiration Date II /1
4 C. Temporary Services or Feeders
Constr Contr. Number ()t01 ( Installation, Alteration or Relocation
I
5O,a::>
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "BII above.
."
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith service/'r
or Feeder Permit .J $
5. SUBTOTAL OF ABOVE
7~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
2.00
3:?,-
OYNER INSTALLATION . .
AI Il:N IIUI'l:llreg01' law reqUires you IL
The ins talla ~lil~'flWf!lIEt;'~t~9@.ytBIiOregon Util~~ Miscellaneous (Servicel feeder
property I ~if~lieflqfj;'1tnb~t"fn~f'e'Nd~'aAaAre9s5~~u~~I~ -Each installation
for sale. 1&~1il!;l511t9Ct1:001~thro~gh U Pump or irriga tion
0090. You may obtam copies of the rules by Sign/Ou tline Ligh ting
Ovners Signattnallingthecenter.(Note:,t~etele~ho~e Limi ted Energy/Res
numberforthe Oregon Utility Notification Limi ted Energy/Comm
Center is 1-800-332-2344).
DATE~-~-~!i;rr~-----------------------
RECEIPT ~~ tJ :.L,Stf Y 2 . , /I
RECEIVED BY: a.e P1J~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
J{),OO
':',00
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95<'00