HomeMy WebLinkAboutPermit Electrical 1998-12-16
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THIS PER~ . AHENTION:Oregon law re uir
i;U'fHORll~~ SHALL EXPIRE IF THE WORK ~~w rules adopted by the drego II y
COM,lM:~I~FO ~~~~~;HIS PERMIT IS NOT ~J1:~~~Cffiy~~.~o~~ .
AI 'v ANDONED FOR 90, You maY..8bt~~p'
, ;i25),FiIITHIlS~ET calJ~ll'G> "~"-'{~J~,,,CJ!~6At' PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 DJi\tI~f}er1~t-h~ " \1 telephone /? c ~..),
INSPEcrION REQUEST: 726-3769 l;ente/-~on U"lity~~catiMNumber '-1 7/07 l(
OFFICE: 726-3759 AU1horIzedSlgll8lu::,,~'332.2344).
. oJ. \.,vu:r:LBTB pOl:' crJWDULE BELO\l
1. LOCATION OF INSTALLATION
-1/)"5~ ~~ ~L..
LEGAL DESCRIPTION
/7 () ~ ~ 7 ~ ::).... (J{) rlrIl
JOB DESCRIPTION
F. /J ~L T.t2:iI2N".-h ~ s !'h Lu...-
I 0-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days, .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor, OtU/U-A-
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
0' A^~_Q.,.iJ Y. T~
-"own:r~ N~me~D 'f>IArlrvt/1 '" ~SuJ~
I
Address /1')'7/ 1)/ ..;j,,/t:./..n<) ~,
Ci t~y; /I(J j.; (J LI Phone 7J. 6;- ~ Z; 2. "\
OVNER INSTALLATION
The installation is being made on
property I ow~ which is not intended
for sale, lease or rent,
Owners Signature:
DA~E~-~---~=~~-:1~------------------
RECEIPT #: \ :o;l.:>,,~,_
RECEIVED BY: ~ '
,~.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00 ..
"
Each additional 500
sq, ft or portion
thereof $ 15.00
Each Manuf' d Home., or
Modular 'Dwelling
Service or Feeder $ 40.00
.B, Services.or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50,00
201 amps to 400 amps $ 60,00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
S 55.00
S 80.00
see liB" above'
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circui t /
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00 ....--
S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36,00
5. SUBTOTAL OF ABOVE ~,~ --
5% S ta te Surcharge /, 7<.- _
3% Administrative Fee /. d S-
TOTAL $.:)7. .l'2>