HomeMy WebLinkAboutPermit Electrical 1998-8-6
!llQ;fCE:
~~:~RM/T SHALL EXPIRE IF THE WORIfLECTRICAL PERMIT APP. LICATION
9T4TT'" IZED UNDER THIS PERM n
OO'6~D OR IS ABA IT IS NOTCity Job Number q r 0.., 7- l'
NOONEO FOR . '
ANY leO DAY PERIOD. 3. COMPLETE FEE SCHEDULE BELOII
LOCATION OF INSTALLATION
/OtJ '3 L.DA/Cr/lIOc;.../:: . A. New Residen t ial-Single or .
Multi-Family per dwelling unit.
Service Included:
I , - ~
I. ..nonzed 8V 111>"9 . r- /
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LEGAL DESCRIPTION
l'ilb2o(.,/t..{ il5(J()
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION 0
Electrical Contractor . - "-"~o
Address A~~~~~~~~reg d b;;~"O;~g~~ ~tility
fJI.J - Those rUle:; d'" ~~Korth
Ci ty Noti'i~tiO~ Ce _8~tNOU.1lh OAR 952-001-.
.n v"n JS- 0 tain copies 01 tne IU'"'' by
SupervisdlO~c W~EWl\.~~I{I'I"t": the telephone
cal" g t e co' on Utility NotlllC8.ion
E.. rtorthe reg )
xplratlOn . 1 n,:," .,.,?-?~.
Liell\'='I'~ _...- - c.
Number
ature of Supervising Electrician
~.^'^ D.
Owners Name -f..F-llY' ITV\ V flo..\M '0...; C I(
Address I()(j <, L..oY\. '1 'Q \dOf i'. lYY.
CitYSf'rlvL~~; ~ ILPhone 7tl6-3/70
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~A1MJL V ~d
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
Items
1000 sQ.ft. or less
Each additional 500
sQ. ft or 'portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
.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
Reconnec t . Only
Cost
Sum
$ 85.00
$ 15.00
.$ 4G.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
tjico
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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
.'
One Circuit . ~ $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit .:2-. $ 2.00 4-.C>O
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
&'7/.0 0
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