HomeMy WebLinkAboutPermit Electrical 1999-5-28
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SP ~IELD
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approval DEVELOP~V1CES DEPARTMENT' 225 FIFTH STREET
Zoning' SPRINGF/ELD. OR 97477
5- ~'? - Cj 4 (541) 726.3753
Date " ..J FAX (541) 726.3689
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AUlnor~~~ 19fFTIf'STREET All eN 1101~:Oregon ,aw re on Utility ELECTRICAL PERHIT APPLICATION
SPRINGFIELD OREGONfc9l14'ill7Jles adopted by the Oreg t Ion"
INSPECTION REQUESTit!otilJa.6il37~9nter. Those ru~e~:~ 9s5e2_001': Ci ty Job Number r r I () / 7
OFFICE: 726-3759 in OAR 952-001-001 0 throug le~ bv
0090. You may obtain copies o3\~e r88#8LETE FEE SCHEDULE BELOV '*
1. LOCATION OF INST~~()N,~~N:::.t~e~ele'p~ ;~
'70 9'!$ /...{~r on Utility IJ!ltill~~ 'Residential-Single or
Cel)teris '\?dO - 32-2344). Mul t.i-FamilY per dvelling uni t.
LEGAL DESCRIPTI~....~)g"'*W OCPfb1 Service Included:
~-'J~ '-<> &n..- Items Cost Sum,
li
JOB DESCRIPTION
/J;>n-T.L.-/
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
_ 180 days.
2. CONTRACTOR INSTALLATION ONLY B.
.,p. ~.>a1 Contractor/..e..-:u..<A k~~:;"..e..
Address&/uC;- sUi r::''''!t?/JU/T.'Ct... 41,
, r /' _ ~ Cj'7/o/D .sz:;.3
CitY~~d Phoneb;;1.,,<;-37~
X. ~~"7
Supervisor License Number
Expiration Date
c.LBti ",,--r;:
Cons tr Con tr. Number........ 0 'I:S
Expiration Date
t?:? - 3cJ - ? 7
Signature of Supervising rl~_~_:_:~
/{u,d 7~/. /4tiPk
Ovners Name ~ b
~<{o;5 6. //'1. {//tFl.--
~ IJ e cI Phone 7'1J- ?Cfc{<{
I
OlINER INSTALLATION
Address
City
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
-----------~f--i-----------------------
DATE: S'fLl/'7t1
RECEIPT #: .p~~1-l.f.R
RECEIVED BY: IttY /~AJ
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
~~p.&yelling
~t:>H~~'ilt Feeder ,..S ,40.,...00
THIS PERMIT SHALL EXPIFiEIf'THEWOkK
SeKY~I2:Ertl;;i;'f:.1i'l NIl' PERMIT IS NOT
Inst"<iI.J:'iit.i,."cm.. s'J&MJOONED FOR
orCR)M~.
ANY 180 DAY PERIOD.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see fiB" above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
/
$ 4Q.00
$ 40.00
$ 20.00
$ 36.00
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