HomeMy WebLinkAboutPermit Electrical 1999-7-23
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kJl"Vnzeo Signature <KiA} low "J/es adOpt VII re(ju,re$ yOU I
225 FIFTH STREET !~Ot'fication Cent ed by the Oregon un 0 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGOl~n~~1J5?;QJJ er. Those rU/esa~ IIty
INSPECTION RBQUESTP09l1l~o~lrflat001~throughOAR~~~tforttcity Job Number 0/9O'63fL
OFFICE: 726-3759 calling the YObtamcoPiesoUhe~Ol-
numb~U center. (Note' the d \.'VfI'l'bjlTE FEE SCHEDULE BELOII
1. L9CATION 0' / INSTAL~~aNth~ Oregon Uiilit e1~~hone
/oj 6 Y'fJ ff~L.ec/ 1!!!tr.rs1-80n_~.,?-ll\!qt'f'lNtt'0nResidential-Single or
. 1 . 344). Multi-Family per dvelling uni t.
LEGAL DESCRIPTION Service Included:
/R&~o/ .:z.CJ99"OO Items Cost Sum
NOTICE.
y?OB DES~PTION T. 1000 sq. ft. or less J
5 '?- ~J r~ HISPERMITSHA'Jas:lID(ii~I~WcmR
AUTHORIZED UN~TJiIl, ~ iJJ'ffit1on
permi ts are non-transferable and m.lt6i~ -t1iel!t!~~",R I:SNOT /
if vork is not started vi thin 180-lI'a"Sl!ll:NCEDOI1:iMaAl~iU)1IEB>lI@Iile. or
of issuance or if vork is suspen~Yfl6f)DAYPERI"'e9ular .Dvelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorll110JU' E:lec..t
Address,2 '7 h-C( 5nJ,~d f' y Rd .
I
CityJL/Yu4i;"" c... Phone~RB t:i...'I1
Supervisor License Number ::J 00 ~ <;
Expiration Date J -/ t) -0/
Constr Contr. Number ;J (1-/5 8 ~
Expiration Date / - J t) - 99
,
;tz:;u:?:2Zian
/ ? ..J
Ovners Name .I'~ / Ht;.('A.e-
Address ~ &x- /c?J1j'q-:2
Ci ty r:qt:;.e~
Phone 9'5"'Y-#orc
OWER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
------. ------------r--------------------
DATE: ... 7In(,?
&"'(;Iut"r i: () J Of f(, 'i
J w..f
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
$ 85.00 ;.P3~~
$ 15.00 /:)-:0>0
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
5300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00'
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
~State Surcharge
3% Administrative Fee
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/ tfJCJ.&t?
7cPO
-5.00
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