HomeMy WebLinkAboutPermit Electrical 1999-6-30
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z~!ting, and does not requir~ specific land use
~pprov81.
Zoning I l':>(l---' NerICE:
Dale L. - ~<> -"t"l _
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AU11J!l!!l"..,'i'..'.."J'S::'.ESO: CIZED UNDER THIS PERMITlS N!;fTIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974 '
INSPECTION REQUEST: 72 QM~NCEDORISABANDONEDFOFb ty Job Number tjt; 062- 3
OFPICE: 726-3759 ANY 180 DAY PERIOD.
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1. LOCATION OF INSTALLATION
2./ SQ Ldui... ~
LEGAL DESCRIPTION
170"> ') 7 /0 0'1'-/00
"'7~B DESCRIPTION
l1OlI(/pA CIfU.... ,fJ
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
s-
Expiration Date" n<1 I~...n Inn
vising Electrician
Add
Name M6N7/t' ~-f 1lzl{.{i
V
s 2f S7) La tAd-A-
City
~ ( L PO
OVNER INSTALLATION
7'17-- ~~/
Phone
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent,
Owners Signature:
--------~-~T---------------------------
DATE: (,(!v/9f
RECEIPT 1I: in w. 7 7 1/
RECEIVED BY: LL Wk/
3_ COMPLETE FEE SCHEDULE BELOV
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'D~elling
Service or Feeder . $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY .B_ Services or Feeders
A I Installation, Alterations
Electrical Contractor Beacon ,c;ymT~q,~:(jrc\iUI0l1\R~~Q~e~i8t:;
'V"vw IUI"'S adoptea 0" the 0 '. '.-
NIT' T. r gon U"lIt'
Address ;:>o;l'\o; "'nn~~,,~ 1 + '" 1 1..~H Icatron Center. ThJ.9.9rLi!m!J~A'1ie,li~,~s,
l,u"n~:>'-OOl-00101I2o,l ampsRfo 400Cramps
Ci ty F"n~n~ Phone_A9Q9Q.,:r.au may obtain 6Qt.~~~~ \~7~691-amps
carling the center. (I\1!i,9J tft)!.l,pF.:t ~~~200 amps
SupeL"vlsor License Number ":l",ca\:!l11berf.ar.1he Oregoi!V~,~jh}~P2~amps/vol ts
Center is 1-80(f-~j~.."n e e u 110rl!l:yl
Expiration Date 'Q /g1/nn 2344).
. ,- - C_ Temporary Services or Feeders
Constr Contr, Number ":l"aq7 Installation, Alteration or Relocation
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40. 00 .~.
$ 40.00
$ 55.00
$ 80.00
volts see IIBlt above
.'
Ne~, Alteration or Extension Per Panel
One Circuit I $ 35.00 3 r-
Each Addi tional
Circuit or ~ith Service~ <."~
or Feeder Permit I $' 2.00 6
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
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40.00
40.00
20.00