HomeMy WebLinkAboutPermit Electrical 1998-9-28
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225 FIFTH STREET Au\horIzed ~n81ure hlV\
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: . 726-3759
1. LOCATION OF INSTALLATION
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fO~_~ '6~eQregon Utility
Notificatio te o}~J~le~ff&~~~h;! J,. O/()(5l)
inOAHl:l:' - - ,r,,(J>l" .
oOBlOB'cIlBSetrnmON'opies of the rules by
iu<ll1!iootl)4.c@WLili~J))flteJe.p~ ~
numberfortheOregoifu~llr, ,
Permits ~t9PB4t~Be~~ and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
'.
City i. ~ J' _.... _ Phone '" .t'b- b). ~ L-,-
Supervisor License Number ~ ~,yfC-
Expiration Date
IIJ-/~qP
C, Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Con tr, Number ? 0 Ii>':>"
Expiration Date /2. - ~ 0-<0 ,y
Signature of Supervising Electrician
J-" .b-- ~--1 ~
,
Owners Name~~:
D.
\/~1:l'-~...J
, ,
Address ill (b (U.uJC}t-4-C,
City 5iph)rtt~oV\ Phone ll?~d.PlJ>
OWER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale. lease or rent.
-.
Owners Signature:
DATi~--2i~-~;r-?"cr"--------------~---~
RECEIPT II: OJ (<::;V A- '
RECEIVED BY: /7 ./nll ('n Ii rI u
ELECTRICAL pERMIT APPLICATION
City Job Number q <t I dO 3
3. COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
NOTICE: Items Cost
1000 T~~ rfcfWJf SlWS. EXPIRF IF ffl~c*k
EachAi.lfd,t~!!!!eluM9gA TH
sq. ft ,or portion IS PERMIT IS NOT
the~J~I1:'V1t:N,;tD OR IS ABANDONE($ F~ 00
Each~Manlif'id HO~!'!l(O,~
Modular Dwelling'
Service or Feeder $ 40,00
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000' volts
Branch Circuits
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
Installation, Alterations
Electrical Contractor Vc; fJL:c.Tf2.c..l\i.Jot....s../fK,:t:;or Relocation:
. . I""c..
Address .p. n 50" 'l-" ~ '2. 'l, 200 amps or less
201 amps to 400 amps
401 amp's to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 40,00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel ~
$ 35.00 0':5,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3%, Administrative Fee
TOTAL
$ 2,00
),6U
not included)
$ 40,00
$ 40.00
$ 20,00
$ 36.00
37.60
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