HomeMy WebLinkAboutPermit Electrical 1998-2-15
.
S(~A.F'I€LO
. '
~ lIIld net ~11lod "-lIle
lIJlPRlVaI. lIpeo/fto land UIle
~. .Le.-
0IGZ1.. ./.!51 ~<L
225 FIFTH STREET AI
SPRINGFIELD, OREGON 97477 " ,..,18lc1n&bn 11 M..
IN5l1wrnJONl:1i!l:egIDS1sIN rmi:f;3%9J to
Q61l(!(i)!fgles7illID1i1iUI9>y the Oregon Utility
Notification Center. Those rules are set forth
iA OAI4~'J!AANOOfOJlN5Ul~OABas2.001'
~~II k\;ft\<1Nai~~:hf the rules by
c~~he center. (Note: the telephone
Itllj"o~~~~~ation
'7LCs> -37ft; C;
JOB DESCRIPTION
~J("()\~~r d,
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY ,n.
Electrical Contractor A\\~\0...1 ~CJ,.\\C In.c....
Address o.O~O "'w (.;"'vy\\~\ \\r:\vL.
Ci ty p'p.D..vu+rl'l'\ Phone 5C\?'-loL.1lo-D533
Supervisor License Number ')5;[3~
Expiration Date~
Cons t r Con tr. Number 41;:J.?,Fll
Expiration Date
Y /0,0..
Signature of Supervising Electrician
o""m-'~j, ~ K,,)
o
'2-i i"r vJppL .29.d
6<f' 6 '243 GJ-
Address
Ci ty r::: 0 r.MA Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~EJ~~-~-~---------------
RECEIPT' #:' USOJ3/ 0
RECEIVED BY: h. /Y1cJaA'<-dU
ELECTRICAL PERMIT APPLICATION
COHPLETElFtBE-,SGHEDULE BELOV
lI,v I ve:
Nev Res id~lfdial]:MS~88)ilj!1 7:<;(PIRf; I
Nul t i-FaJ\lg1-,~OgT/.:elJ~i'Iing u.rti tnHE WORK
Service ~nclu?ed': DER THIS PERMIT IS NOT
COMMENCr-o OR [,t emsNDONCos t Sum
, .,~ hU" to FOR
ANY 1 J., ()1< V P-R'" .
1000 sq. ft.' 01: less ,,;I') $ 85.00
Each additional 500
sq. ft or portion
thereof
Each Nanuf'd Home. or
Nodular Dvelling
Service or Feeder
c.~"J /.ob Number
3.
A.
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
Reconnect Only
q~1 ~S /
$ 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
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
no t included)
Niscellaneou~ (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Ener~v/Com~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
~3\.Q.OO
U!>Q
I.DH
Jl,3B.?'1-\
40.00
40.00
20.00
36.00
,3k.J20