HomeMy WebLinkAboutPermit Electrical 2002-10-14
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,- 225.FIFTH;3TREET :', -' \ .':': i i!': "'\ ELE"~ALPERMITAPPLlCATiQN" \',
. SPRINGFTELD, OREGON 97477: . :,
lNS~ECTIONREClUfST: 726=37,6f':-I:! ":-: ~ i : ;Ci\YJOh~Umher c::.L..~:u>oz.-OO\\D
<?J.F\CE: 7??-37.?9: . :; , '_ ii' i I I .' I' ,! ..
,(' ',' ' . ! \ J". ': I . '3. ,COMPl.:ETE FEE SCHEDULE BELOW
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i.:1. 1 r.o~'T,~9~..QFmST&"'~TIONI1'_~; .:,': ,:. .
, y /.50 ~(LLtN fSLI/~ b-utb- New ReSldentoal-Smgle or. ,.'. '
cJ Multi.Family [ler dwclliug uuit.
LEGAL DESCRIPTION Service Included:
l70334'-iZ- OOL(O 0 Items Cost Sum
~.: fYt,~R[PTIOry I.' '. 1000 sq.ft. or less
0. J e.. / e (1 1Jj,j r!.. ::5? ((() I (!e . Each additional 500
, The following projec! 8S submitted ftl\sl!h~~JlI5\'<<lOO
Permits are non-transferable and"'~pireand does not req,uire ~~"fI~~~ilI' us~e oniaWreqUlre~t($ 19.00 _
If work is not started within 18~~vai Lu \ Al1li\~"T~fltt rWtl'8bo/theOregon Utility
of Issuance or if work is suspended for Zoning - :J,IM0dl1i~ m,~h rules are set forth
180 days. , 'J, Date ~O-IV-d~U1Ji)~ ohse hOAR952-QC)'jiO.00-
:' . , 952-o01-0010t roug b
" za<LSia I . ' I the rules 'J
2. CONTRACTOR lNST ALLAI!'l\lJjI.j'UNlXnatu,e H, l!!u\!l{}pVatl~l'ltllam 9op'es 0
, I' cdlM1gItlu:tIJl)~~~ardUolhetele,~ho~\,
Electrical Contractor I ~ nu~tJl!~~tiplt1e Oregon Utility Nottflcatlo -
/ Center is ;1-800,:P2-2344)/'l
Addrcss ;, ~ / .. 200 amps or less . _ $ 63.00
. " 1\,/ / 20 I amps to 400 amps $ 75.00
Citv' ! PhO~fr' V',/ . 401 amps to.600 alllps $125.00
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t v / '691 amps \01000 "'[IPS $163.00
SlIper\'lSor Licen~IC Nnmb~ / Over. 1000 amps/volts $375.00
7"\V.:. Reconnci:tOnly ~$ 50.00 ~
Expir;llion Date ( J
$106.00
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C, TcmporaQ' ,Services or Fccllcn:
Installation, Alteration or Relocation
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200 ",llPS or)es,s . ~ $50,00 .~
201 amps to 400 amps $69.00
---'NOTrofr.401 to 600 an1j?s e itJH~OO.OO =
ISI,<r~M\q-~It\~b.l1blWmlts':lee OT
11-\ Ht)~~t) UNDER 1HlS-PERMIT IS N
AU~ OR IS ABANDONED fOR
D, fiQJ~~~G:~llt~~sPI=RI()O .
AN'NaiQ,J~J\.~tibtrb'r,Ext'ension Per Panel
Signahirc of.SuJlcrvising Electrician
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.- OWllersName~\() '^"~..., L.' C9/ATAfZie..
. Address i t.f7~- . 5. ~co\\\~lI\ve
Cit)'~. ()l( .PEo~c2lt,o{.,~7
OWNER INSTALLATION
The installation is'being made on
property I 0\\'11 which is not intended
for sale, lease or rent. .
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On'c' Circuit
$43.00
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Each Additional Circuit or with Ser\'icc .
or Fceder Permit, . $ 3.00
E. i\'1isccllancous (Scl""icc/fccdcr not included)
-Each instaUation
. Pump 'or.irrigation
Sign/Outline Lighting
Limited EnergylRes
Limited Energ)'/Collllll
$50.00
$50.00
$25,00
$45,00
g';;:;"a;~
i\linimum Electric Permit Inspccrill.11 Fcc is S45.00 + S~lrchargcs
sO
~ro
lfOO
57~
4. SUBTOTAL OF ABOVE
70/0 State Surcharge
SOft, Administrative,Fee
TOTAL