HomeMy WebLinkAboutPermit Electrical 1998-7-21
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approval, An \ r\. ,\
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SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
. I
.Notification ~ adoPted by the 3UJres you to
In OAR 952'00elnter. Those rU/e:egon Utility
0090, You ma '001.0 through 0 are set forth
, cal/inl1 the !e~~taln COPies of ~R 952'001.
."' "uer far/he oer. (Note: the telee hru/e~CTRICAL
Cregan Ut./, Pone
97477 enter is 1'800 IIty Notificar
726~3769 -332-2344). 10'Ci ty Job Number
1. 1fS~r ~ ffit~5
t ~t)~*I063cCO
, \. :OB ~Squ;PVON \l/DQ
~'u _ 0 [)~ 0 (\r'9- 1> 0
/- ~ -
Permi are non-transferable and expire
if yor is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ED flt^t<.A::...'f
Address 37370 C4.....,p Cree;:
Cl' ty. S' n r~ ' Ct.f<... ,;1.,/0 . 41 (P<f '
rTV Phone 1tf.1s>-704o
Supervisor License Number 3577- S
Expira tion Da te
to-/-C?g
Constr Contr. Number~'2~ 9
Expiration Date
~-1-91
PERMIT APPLICATION
Q I) 1?{)9;'
3. COMPLETE FEE SCHEDULE BELOV
A.
Ney Residential-Single or
Multi-Family per dyelling
Service Included:
uni t.
Items
Cost
Sum
B?
2J)
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
Reconnect Only
t
$ 85.00
c9.
$ 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' 'or less $ 40.00
201 amps to 400 amps $ 55.00
,Over 401 to 600 amps $'80.00
Over 600 amps or 1000 volts see "B" above
Signature of Supervising Electrician
<J' &I ~~. '
f\ D Branch Circuits
Oyners Name t'r0. \ - .
1\(\ fl.,~ ,n'":20 Ney, Alteration or Extension Per Panel
Addre~l.~\} \~~~~ One Circuit $ 35.00
Ci tyr\] ll\l~?!~~lln ,.3fCOj E~~~c~~~i ~~o:~~h Service
OVNER INSTAL~8~R~/rs. or Feeder Permit $ 2.00
COAA !-94>.c:-" 'f.t-4l
The installatj.,9!J''i''4tSl&.ih1t~~Q~pJ. E. Miscellaneous (Service/feed.er not included)
property I ovn'Jfi~"~S~t ~~a~~/~ -Each installation "
for sale. lease or ~A !-9/$"l V$P(:j rf.;~/1t, Pump or irrigation $ 40.00
~R/Q ~-4l\1a 71~/,. VR.tSign/Outline Lightinp: $ 40.00
O\ffiers Signature: ~ ON~D /$NO Limited Energy/Res $ 20.00
, ~OR ,. Limited Energy/Comm $ 36.00 ;]
-DA-T--E-.. ---n-.rrl-,QT/-f--'::;~-----"'-- 5. SUBTOTAL OF ABOVE \ \SQJ ~
J ;-;... ",If'll) 5% State Surcharge . ~, !-'''., I{t,.,
nn~n~. - ,;] > 3% Administrative Fee ~ ~<<., \..