HomeMy WebLinkAboutPermit Electrical 1999-6-2
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The tOl/owrng prOject as b .
ZOning, and-does not reSQU ,r liNed has the tOl/owlng -
approval : '~lrf specIfIC land use
225 FIFTH STnEET Zoning: r---r-il> ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 I j" CC' ?
INSPECTION REQUEST; 726-.:f1l,B:.- ,";-d-Sl1 Ci,ty"Job Number ((6~7/
OFFICE; 726-3759 AUlhorized Sj9ofiiulJ> J'Gt.....l ' . .
Y'I T~, e~17 "~E SCHEDUl..E BELOll
1. LOC!>7:rON OP lNSTALLA'ffP(1 sGlr I!D
\~ II~ t {Jl J..") )C"r\ \' \~. ,A.
LEGAL DESCRIPTION
l'1A 1 '2.2. I.> c) 6 '1. $'0 3
I
_ QJOB DESCRIPTION (\, . . / I (\,
L" ~,-C MA ....AL^ ,,-\.Ill.l Ct}I'j eM...
,_. I
Permits ace non-tcansferable and expire
if vock is not started vithin 180 days
of issuance or if vork is suspended for
180 days. i
2. CONTRACTOR INSTALLATION ONLYt\....J M.B.
Electrical contractoSneeJ \Jt1'\~rn.
Address:J5 D W 1;-f1..... '.
City'0' Uy -'^'R Phone U/t;- J t",<::,-4 :
SUperVisot~ Lic~nse Numb~c ?.D - 3'1 c.l.<!l- 'L.
,- ,
. Expiration Date t6/ I / "7 "7
Constr Contr. Number OD !.A..9 ~ ):
S/21 I 00
Expiration Date
Signature of SUPTrvisinl' Electrician i
. It __iJ\. /1'''-'' -+-
rJ " /7~,,~1 .1
Owners Name~ ~,",^,,;^-i\-'-':'~o "'~
I
Address ('q'D V0,~ tAu <.
Ci ty~).{) ~ Phone r ~ \bg..q
~,-,'- \S -Y'>
Ol/NER INSTALLATION
The installation is being made on
propecty I OYn vhich is not intended
for sale, lease or rent.
Ovner~~~~gnature:
DATE: -----------------~~~lf~~-----~
RECEIPT If; .J:2~i,C/ )v 7 ,-. _II
r1!'rrT~rrl) l\Y, -1 A./I
,.
;
Nev Residential-Single or
Multi-Family per dyelling
Service Included:
uni t.
Items
Cost
Sum
1000 sq.ft. or less $ 85.00
Each:additional 500 .
"!fql.t::.~f \:llll'fymtl'tliJ;r\'V reqUires you to
fot'I1Elre'b'"i?'adopted by the Oregon UtiStYl5. 00
N~i:!h1tNii\ruf5lrar.If~,eoi!IEl" <11" :;et forth
in Gl~\:I6[€tOiD'wOO.i1llI\"gOugh OAR 952-001-
OOfSeMcWd9cl:i'.Eied:e+Jies of the rulE$; t.4P. 00
calling the!center. (Note: thetelepnone
Rllm't'tt t!l~ or!lg~lltllility Notification '
Instar~~~A9~_~tS5~~Sqqf.
or Relocation:
200 amps or less $ 50.00
201 amps ;to 400 amps S 60.00
401 amps to 600 amps $100.00
601 amps to' 1000 amps $130.00
~r,~p amps/volts $300.00
Mi&onU~'r Only $ 40.00
PERMITSHA!J.i~RDiJ
C. ~tm.~QElIllTUlSjll;~~~oc~tion
I I t:NCEDORISAB l:SNCJT
\/'2i108el!!PWllilrRJ..~~sANOONEDFOR $ 40.00
201 amps'~ '406 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
I , .
Branch Circuits
D.
,"
;
Ney, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Ciccuit or with Secvice
or' Feeder Permit
.;
$ 35.00
$ 2.00
E. Miscellaneous (ServJ~e)feeder not included)
-Each installation
Pump oc i~rigation S 40.00
Sign/Outl~ne Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm t S 36.00 ~
5. SlffiTOTAL OF ABOVE
57. State Surcharge
3% Administrative Fee
'rr)'l'!, T.
31.:,-
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