HomeMy WebLinkAboutPermit Electrical 1998-10-26
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SPRINGFIELD
225 FIFTH STREET NOTICE: ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 THIS PERMIT SHAL O"'n 00 J
INSPECTION REQUEST: 726-3ABr L EXPIRE IFTHfl\trRKob Number 7w 77
OFFICE: 726-3759 HORIZED UNDER THIS p~r:mcr..lC *'
COMMENCED 3. COMPW;r19 Nlt"E SCHEDULE BELOY ,
1. LOCApON OF INSTALLATI(W ~/il;lAo18ANDONED FOR
r~ (odI/lJJh.1 A Y 180 DAY P~OO'li~''lB Ne1J Residential-Single or
ov"t'l"dn!fflf!4i-FamilY per d1Jelling unit..
LEGAL DESCRIPTION ~eup~~ncluded:
I1tJ?'"J.7"J..1f tJbSZJ(.) ~'.' <?o'>li,g i\Dt2-"9I#~~, Items
JOB DESC~P!ION f~~l sq. ft. o~"fwl.. $ 85.00
E'l<"'~ r"",,, Cfll.e--... ~Sl9'>4l Each a . tiona~~
Iht4I 1I",,'"1f}-<f~ lire q. ft 0 portion
Permits are non-transferable and expire eof
if 1Jork is not started 1Jithin 180 days Eac nuf'd Home, or
of issuance or if 1Jork is suspended for Modular' elling
180 days. Service or er
Electrical ContractoryIJ...<;"".1'1.<J_.. "h>c
~I
Address_:{,~c..t~ ~
Ci ty c;.~Q. Phone I.o'(;'i;" \?~<:;"
u
Superv'is'lr License Number 3&c8s
Expiration Date J.D/'l.C01
2.
CONTRACTOR INSTALLATION ONLY
1 '
Constr Contr. Number ,;lO'-'3C>7c.-
Expiration Date 10/QQ
Signature of Supervising Electrician
~Q./~
01Jners Name ,!oR. ~a;:g
Address '7~(
Ci ty !>16:J.
I' x.K-9V f..( J
Phone 7fL7-~s3
OIlNER INSTALLATION
The installation is being made on
property I O1Jn 1Jhi2h is not intended
for sale, lease or rent.
Ovners Signature:
------------~-T.------------------------
DATE: lo/l.6/'1f1"
RECEIPT 11! I Illl 9'" /. :l- If
RECEIVED BY: p../! W"^#
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnecf'On1y
Cost
Sum
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Reloc~tion
ATTENTION:Oregon law requires you to
follow nlli;l~ ae:~fl!9iPl5"y ~r~9.on l.Jtim;<- $ 40.00
Notificati0\9tei't'lllE'T~8s~~lle!HW~ sot forth $ 55.00
inOAR9~!lel!&JltOtRroctJ6~dJR~ $ 80.00
0090. Yot9l\fclY 800.ir\'198aieJ'btft'{~Yule~byS see "B" above
cW~ing!he ce[!teF,(!'Jote: tpe telephone '
numoer;oA'i1~1t>~o(iH3tiiity Notification ' ,
~'V~rin\"~Q~-f?6rf~'l:4)Extension Per Panel
One Circuit
Each Add it i onal
Circuit or 1Jith Service
or Feeder Permit
/
/
$ 35.00
/
$
/
2.00
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
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
1?t)O
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