HomeMy WebLinkAboutPermit Electrical 1999-6-7 (2)
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225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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JU:~A PJ:S~rrtJ()'-14 ou
JOB DESCRIPTION
,..::) /fa. +...,,, A:.. CDf\cJ: + "0 AI". (
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Permits a.re non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAL1~TION ONLY
Electrical Contractor~JXf11n~
Address ~~'""N () lAJ. Y1'1a..rtU1..,
,1~ity1te:v.lfll Phone %-2440
Supervisnr License Number ,:l)LD\L\.~
Expiration Date loldoo
Cons tr Con tr. Number I O( ~CjL{
Expiration Date -11\~C\
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Addres;.a..l~ /....c.\A.~"":":\ -:ll...JAX
Ci ty.~,; "-,:S',,,.ld Phone 141~ - -'-J~qii
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OVNER INSTALLATION
mo\"\,-\\c~A'uyd bo,..,..,e, 3'1e.cr:s C> Id
The installation ;s being made on
property I own which is not intended
tor sale, lease or rEnt.
Ovners Signature:
D~TE~--- ""ot=::;:-if't:t:-.---_-.--------~
RECEI~: I ;:i u":;: V,?" '0
RECEIVED BY: . f/tll.tf./\ _ ,.
ELECTRICAL PERMIT APPLICATION ,
QQn1(or-
3. COMPU:TE FEE SCHEDULE BELOII ~
. A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
f~/IENrION'_
Not'/!f!JOGJ/~q~ f~r.9!Rfl .less $ 85, Ol>
In o~''FJat!.bn !,a~cI-~(tdtl1iHl,t.Cll500qU/~
. 00 Rs-qi:?&rnO'tl'. PRr-tilonOre es You to
90. 'yr;Q'lflolf0010ttO.,serUles gonU/ilit $ 15.00
CClI/,F;a'i!;: 'M'an.!llt;a 'H~I@) QrCl/eset~ Y
nUrnbel\rJifuiJ!aTle1N'k<1a,j(llg ~AR 952-o0rth
2grVi<~~\ifN8.e_\!~el? ther/l!c 07.S 40,00
enter i~ 1 egon Uti',. !e te/ep..o ~ by
. '-R"ry 1111^,. I' ne
8. Servlces or,F,~<~q~~~hficafi
Installation, Al'~H)atiofffi1
or Relocation:
Ci t>. Job Number
Items
Cost
Sum
'.
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec f 'Only
S 50.00
$ 60.00
$100.00
$130. ')0
$300.00
S 40.00
C.
Temporar~ Services or Feeders
Inst(:l-J.a'tIil.o'1:l.sl Altera~ion or Relocation
~SIJ. ~a(Z 0'01.
200 ;;;~J~~~~ItSIt~. O'~o'...(~ 40.00
;~;r a~bl ~~!. ~~; I:IOOSQ:~~
Over 600 amps o~ ~~~~~ above
'S.J.tfl;1:/ 'O~ '
:~J So'Sl1tJ. -.
Ne~, Alteration or Extensl~~CDAF Panel
, S 35,00
D.
Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
"
.;.
\
;'.00
E.
Misce11a~eous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not, included)
S 40.00
S 40.0('
S 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3r. Administrative Fee
TOTAL
35.60
_.1,1,.5
_I.D.5
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