HomeMy WebLinkAboutPermit Electrical 1999-4-12
ti
... ,
.
;
, .-
THIS PERMIT SHALL EXPIRE IF THEWORK 0
AUTHORlzEO UNDER THIS PERMIT IS NOT 0090. You may 0 tain -copies of the rules by
CQMMENCflD OA IS ABANDONED FOR calling the center, (Note: the telephone
. ., m~~.~~: Oregon Utility Notification
Mll'JUllf'l OA V P!RIOIDJ lollowing project es submitted has the to " ,
225 FIFTH S'l'RJ::ET' zoning, end does not require specific land Ii'ERIIXll'3~G"TION
SPRINGFIELD, OREGON 97477tpproval.
INSPECTION REQUEST: 726-3769 Zoning <2.12....- . Ci t~ Job Number erg 037/
OFFICE: 726-3759 L(-I':l.-'"!"I
Date ,
1. LOCATION OF INSTALLATJ;lmrized Signaturo r<....5.
3L./:..~3 1-/", tt4/J ' A.
/703 n '2-00 Dgor-
o u rrbFlo;F~!f~" fr h 0 14 S e-. .
::3IlfLE'l'H FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items
Sum
Cost
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home,or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION 0 .
_;E1JP'1",p... S''-9-J,)"1~ SI?'" CIIJIU_..... f
Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY B,
Electrical Contractor I-kA/L CLJA'lJ7l4v"LLC
Address /tn/3 NE fflAllx 51-
Ci ty 0 ~ L f I f(UJj Phone 5rn _ 1I0.! YS-lcJ
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Supervisor License Number It If[ <; I q
1
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number /27tf70
$ 40,00
$ 55.00
$ 80,00
see "B" above
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
/ . 29 _ (PO
Expiration Date
Signature of Supervising Electrician
It - ~ / L---:::t:.- '-
~ '
Owners Name 0 W + b q<: k S' f~4 k hna ~,..
Address 'Jr..~O /3h r <:~ S',..." f"2o
Ci ty.Jv. (k.... {"vII Phone
OlINER INSTALLATION
Branch Circuits
D.
.'
New, Alteration or Extension Per Panel
4A.-
$ 35,00
One Circuit
Each Add it i onal
Circuit or with Servic~
or Feeder Permit
$ 2.00
E. Miscellaneous .(Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting--L.. $ 40.00 J/1L:::.
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE .J?.4Q. -
5% State Surcharge ,0, -
3% Adminis t ra t i ve Fee j . AO
TOTAL {14:< ~
I
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------t--7------------------------
DATE: {If'1- H
RECEIPT !I:_f),,? Lf 7D d . ~
RECEIVED BY: -". LJt:<-r/