HomeMy WebLinkAboutPermit Electrical 1999-3-31
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follow r.UlescadnOtePrteThose rules ar " I~U R THIS PERMIT IS NOT
Q.Q.:.. T tlCn e. AR95-
, ~o~~~ 952-001-001 0 thrO~gh Of the ru~MtAENCED OR IS ABAt'-!DONED FOR
) . '31 - '1 '1 In btain copies 0
~ /. \ 0090. You may 0 t . (Note' the telephQUt( 180 DAY PERIOD.
'f'.V-o' calling the cen er. uiili~~lmL PERMIT APPLICATION
97477 . numberforthe.oregon -2344). .
726-3769 center IS 1_800-332 City Job Number qCj 0 37 Co
Date
""lh~d~l!.r~TREET
SPRING~tELD. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATIONj(!% uINSTALLATION
q 69 r... W"l"
--,
LEGAL DESCRIPTION
n b"J. '2.'2.1.. MD Qo1
JOB DESCRIPTION
J,J~(l1''L.e s,iJ $60/ ("cwl
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
Electrical Contractor Ht';4/~ ,lotrl,..WVtJ..C
Address_j()1/-z, /.IE 1Yl,.,t2){ 1!-
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City ()61l-r all Phone*1l'- r;slo-l7L/
, "
Supervisor License Number 0 It ..; '1--
ExpirationDate //)./ 'ltl
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Constr Contr. Number /2 7ft7 ()
Expiration Date 1- 2 Q- O~
. Signature of Su~~iSing Electrician
, LA ';-'/P'A ,.d
/V~L ,. A --
Ovners Name' ID.Los I ~~ ~
Address 34-0<;:: ernL&t.. V ~.u) \..c . . .
City~ Phone~
OVNER INSTALLATION
3. COMPLETE FEE SCHEDULE BELaY
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion'
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cos t
$ 85.00
$ 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
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see liB" above
Nev, Alteration or Extension Per Panel
.'
One Circuit ;j[
Each Additional
Circuit or vith Service
or Feeder Permi t
$ 35.00
$ 2.00
not included)
E'- Miscellaneous (Service/feeder.
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED BY:
T~?~I
...-~I-c:.,<;
+<.t..u
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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