HomeMy WebLinkAboutPermit Electrical 1999-1-26
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225 FIFTH STREET NOTICE: ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747~-fIS PERMIT SHALL EXPIRE IFTHE WQiilK ^ rdAA ()
~~~~IO~2~~r: 726~J11~SRIZED UNDER THIS PERMIT IS ~6f Job Numb:r , V\"X \""M7J
- COMMENCED OR IS ABA~::JOf\<tq,~bW'E FEE SCHEDULE BELOII
1. 4l.<;l.!..ION (IF INSTALLATJRNao DAY PERIOD
---1J;.K-vl ~\or'\r-.\C't)") , ,A. Nev Residential-Single or
, , Mul ti-Family per dvelling uni t.
, ~ DE~CRIPTION.A FV"'\ Service Included:
--ID',4fl~~ n?-.~ Items Cost Sum
~r.OB_ Q~CRIPTION - , ...J:J, f)O~f'\f7
"~OC\t'\L~~, ,- .~
P its are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home,or
Modular. 'Dvelling'
Service or Feeder
l
4-
2. CONTRACTOR INSTALLATION ONLY A-rtEN~~Ii.Y. ,ses or Feed!!rs
----:i:) ./(, c / '-t- n's't u!l.~Cfl\)W,rejJl!\!'@Hl~libns
Electrical Contractor~ S' z..f.(c...f,followru 'il'P.m~~~~OregonUtility
. : Jotification Center, Those rules are set forth
Address.} r 7 () W l 5 T / I ~ in OAR 95~0@1a\llPW t6fOLJ;IDISAR 952.001-
, J000, YOU2{)ilY &l!ilain copiWOlfalupsules bv
Ci ty Phone calling ~lcEllJtJP.s (l'tot,e6OGJ ,.._,one
a OF! S numberlill1h~sgdlQUJi~~\llR;{ltinn
I d V (Q.V!elr i~(j)Qj000mst3.9~~S
Reconnect Only
Supervisor License Number
Expiration Date 10 .:... 99 -
eonstr Contr. Number .;2. /3 S' I
Expiration Date (j-,. f --- 99
~t~supe ising Electrician
Oyn:rs Name~; J...
Address2f'A ~ r ~..Ll ,\?rll
Ci ty~l'I,c1. ~N Phone~.~. \lD1
O\INER INSTALLATION'
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~Signature:
DATE:
RECEIPT jf:
RECEIVED BY:
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, ~/ 8:'7
$ 85.00
R~
LiD
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"QT less l $ 40.00 4{)
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per' Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation .
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Wn ~
5% State Surcharge U ,lib
3% Administrative Fee ~.~~
TOTAL ,(,\~_o.;..()
One Circuit
Each Additional
Circuit or yith Service
or' Feeder Permit