HomeMy WebLinkAboutPermit Electrical 1996-3-9
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NOTI~; "() hll
THIS P~MitsU~~L1xpIHl: IF lHE WO~I5ECTRICAL PER1HT APPLICATION
974WfHORIZED UNDER THIS PERMIT IS NOT
7t60-~7vii:tJCED OR IS ABANDONED FOR Ci ty Job Number
ANY is/) nAY PERIOD. 3. COMPLETE FEE SCHEDULE BELO"
LOCATION OF INSTALLA~ON
72(" MA-tAJ ~ A. Nelo/ Residential-Single or
Multi-Family per dlo/elling
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
j 7/1 7, 1 !J 12 O~4' (l U
JOB DESCRIPTION
Permits are non-transferable and expire
if I%rk is not started Io/ithin 180 days
of issuance or if I%rk is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'DIo/elling
Service or Feeder
C;/'g j 2.- Lc:)
*
unlt. '
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 40. 00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
[I ..L' Installation, Alterations
Electrical Contractor'RlJlld:~(S eC:\r-IC Intor Relocation:
Address I C)rs 10brl,',<:"CJn
Ci ty ElJ~FY'\e
Phone 4'85-0QZZ
Supervisor License Number 29 to -5
Expiration Date 10 -1-99-.
Constr Contr. Number 42. q(e~
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
{1P.. ~ ~~ Over 600 amps or 1000 volts
~~ / . l' D. Branch Circuits
Olo/ners Name /L.f'^,~ ~wreguiresyouto
/ lowruJ,esado.o.te..rlbytheOregonUtilil;M, Alteration or Extension Per Panel
Address _/ Z 1:1 . ,^~.r.::n ront~h-';~A rilles are setlorth
i ~52-001-0010throughOAR952-~,!-Circ~it r $ 35.00 "Jr
Ci ty 5t? . '8BWlay gl;>tain C'T;o~ '11 the rul~ AddI Clonal ,
~ ..caU" 9 the center. (Note: thetelephonEfuCUlt or 10/1 th SerVIce I .,
OIlNER INSTALLA~Uril~erlorthe Oregon Utility Notilicatidlf Feeder PermI t $ 2. 00 ~
The iosta11ation is beiW~~d~1~O-332-2344k. Miscellaneous (Service/feeder not included)
property I Olo/n which is not intended -Each installation
for sale, lease or rent. Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
Expiration Date
11-Jn-9~
Ovners Signature:
---------------------------------------
?9.fC II
RECEIPl H: U -116116, /J
RECEIVED BY: AY tII/~
DATE:
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 55.00
$ 80.00
see liB"
above
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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