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HomeMy WebLinkAboutPermit Electrical 2008-3-6 (2) ZON INITIALS DATE SOURCE 225 FIFTH STREET. SPRINGFIELD, OR 97477 . PH:(541)726-3753 . FAX: (541)726-3689 ELECTRICAL PERMIT APPLICATION City Job Number C- 0 vV\ '2-Q)() '7 - 0 \ '(4, City 6-~, cJ Sign/Outline Lighting $ 55.00 OWNER W~f~IO'N3gon law reqouires YOUUt'ltliOty , Limited Ener~!&l!Sidential $ 28,00 II aQp.oted bY,_t~e regon reU 1 Ilia:; !he in.stalOO1~sr~e~~n,\~.0'!I?oWtUle9>~~btdlDrth Limited Enerffi~~~rt SHAll F~~ ~lXdE WORK IS not mt~~~~~~bW~5&f OttWrough OAR 952-001- Minimum Electric . f ~~isr$nQ)({08P$APcll~rllQT In ma obtain copies of the rules by 0 l7DR-a I"\?\ Owners s~lfur~ou Y t r (Note: the telephone 4. 1 'S L /. u v call1~~_ tr;.:~ ~r~gon Utilitv Notification 12% State SuAh~gt80 i G'r 02j 1'Wffi ....Center is 1-800-332-2344). 10% Administrativ:e Fee (.....<;, c:LIl- 5% Technology Fee "" ~ ~ :;20t.Cf3 1. '2.745 D ~, LEGAL DESCRIPTION: JOB DESCRIPTION: ~'V0 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is Suspended for 180 days. ' 2. Electrical Contractor L tE E:: tQdr) c Address 9JB33 ~OAfL>/\c-r(~ led City ~p~ 16 Phone Cf -33,- 2 SC( 8 \ Supervisor License Number Lit, If - 5 . Expiration Date ! 0 -- I '- 0 g Constr. Contr. Number \ 0"5 Y '7 S Expiration Date 33 I ,- DB Signature of Supervising Electrician /"7 Q'~ ' ~ (r . (1) ~'.JbuA" l~ Owners Name 101 (J)/) ,k- (;D!.dJx-e..L- Address -f. o. fzA.)'f.- Lf-o" \ ?- Phone C1 Sl+,.. fo?::if( Inspection Request: 726-3769 3/0 /()~ . I Date 3. A. Service Included 1000 sq. ft. or less Each additional 500 sq. ft. or portion thereof Each Manufact'd Home or Modular Dwelling Service or Feeder i :;L $117.00 N7 DO 4-::2, 07J $ 21.00 $55.00 B. . 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps 601 Amps to 1000 Amps Over 1000 AmpsN olts Reconnect Only $ 70,00 $ 83.00 $138.00 $180.00 $413.00 $ 55.00 c. Installation, Alteration or Relocation 200 Amps or less 201 Amps to 400 Amps 40 I Amps to 600 Amps $ 55.00 $ 76.00 $110.00 D. New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 48.00 $ 4.00 E. Pump or irrigation $ 55.00 TOTAL Shared Drive(T:)/Building FormslElectrical Permit Application I-08.doc