HomeMy WebLinkAboutPermit Electrical 1999-7-29
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zon~g-n-'i .. '1 G\. \ folloW ruleS adopted bYse rules are set torth
Dete ~.. NotltlcatlOnCenter. ThO . hOAR952-001-
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iAuthOnzed:!;2Qh d'''' :;t:.,. -= btain coplesoftheru e ,ELECTRICAL PERM T PLICAT ON
. SPRINGFIELD, ORE~cP.Wq,7J7Il1ayo . the telephone Q
. INSPECTION REQUEST :caIU~ttll?7i(1!f.lter. tNot~ti\ity Notification Ci ty Job Number I 7 ~ 97.J
OFFICE: 726-3759 Umber tor the Oregon 2'U4)
n Center is 1-800-332- -. 3 : COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
II U> ~/'" r//ew 1t- 35"
JOB DESCRIPTION 1000 sq.ft. or less
~ SG.t..wa NOTICE: Each addi,.Li:qfi\ilil.:!.~OO
. I=RMIT SHALL eEfIR~~F d f''-p'd~ti on
Permi ts are non-transferable an1iHk'W>'ire Dc:R:i1'l~MIT1SNOT
if ;lork is no t started ;Ii thin l/l.~IZEDUN '"t~i:P',l'l.i'II.ll:fnpnllPme or
of issuance or if \lark is suspem~Mi!NCEDORISIHC'a\'i'l'lr't.'tlt<e!nng
180 days. ANY180DAYPERlo~,ervice or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
(\'.~.~ Installation, Alterations
Electrical Contractor~1 P10c.!:u:L- or Relocation:
Address ~~l~ cU, IJIli.JJt;'J/G
Ci ty t..rfflJJf II Phone ?f::IS-2J.-ILlO
Supervi~or License Number i3(1tCj..S
Expiration Date Jnh !Cf8
Constr Conn. Number (o(o'8qLJ
,JI'PJCA
LEGAL DESCRIPTION
116 '3'1. 7 JI ()d{,oo
Expiration Date
s~ure of Supervising Electrician
,,;"".<?J".~ ~: ,,~ M ,0,11.."-
Address II 2- rJ f;'I'-r/tc"-
Ci ty 51J ('.0
Phone
-;21. Gte; 7
OIlNER INSTALLATION
A.
Ne;l Residential-Single or
Multi-Family per d;lelling
Service Included:
uni t.
Cost Sum
$ 85.00
$ 15.00
.$ 40.00 ! ~,
,
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
JO
Items
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Retonnec t Only
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 a'mps' 'aT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
8ranch Circuits
.'
Ne;l, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
75r."State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00, '
One Circuit
Each Additional
Circuit or ;lith Service
or Feeder Permit
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
The installation is being made on
property I O;ln ;lhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE~-~~-~;ffr-------------------------
RECEIP1' t1:. dJf'lJ'I7 Ii! ') t
RECEIVED BY: ,JI oJ JIV"
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