HomeMy WebLinkAboutPermit Electrical 1999-7-14
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AutOOtized Signalure, THISPERMITSHAll.EXPIREIFTHEWnRlL-
225 FIFTH STREET ' 'EI:ECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747fUTHORIZEDUNDERTHISPERMITISNOT '
INSPECTION REQUEST: 726..ooWAENCEDORISABANDONED~ty Job Number BP# 99-0652
OFFICE: 726-3759 ANY 180 DAY PERIOD.
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1. LOCATION OF INSTALLATION
2100 f-Ipnrlpr"...n.....Avp <::n...i n2~d ' A.
Dale
LEGAL DESCRIPTION
1803032000600
JOB DESCRIP;rION ,
New commun1cat1on Equipment
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Ci ty T u a 1 at in
Constr Contr, Number
78713
Expira,tion Date 12-24-00
'9::: of 6'1Z.d'do1~
Owners Name C-~ ~
Address !-O. 8 D k; 'ftJ'j
City 1.lA~ Phone 'i)1~ 1JJt'!J
II
O.~ INSTALLATION
The installation is beirig made on
propel'ty. I, 'own which is ,not intended
for s~le, lease or rent;
Olffien: Signa ture:
:...----., -- - -/.---/-;----------------- -----_.:
DATE: 7 1'111'1 .
RECEIPt III ' II ~J 0 j ({ ti.h .
RECEIVED BY: a
COMPLETE FEE SCHEDULE ~~woy
New Residential-Single or
, Mul ti-Family per dwelling uni t,
Service Included:
Items
1000 sq,ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
D.
200, amps' '01: less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
, ArrF~'~I"'" ." Installation, Alterations
Elec tr ical Contrac tor A 111 a n cef;..!J.~..cJT1\CUregoor3,Relocat.ip-n-'to
Notif; ',- '-~ adopted by the Oregon Utilitv
Address 19590 SW 51st Ave ,_M~a!'~~Ce2ter,Tt200Iamp.sa.~rs(.\e,s,~h 1
. n -~". W~~~O .-0010 '20:l.u~I]IP.~\H95!.,-9,9, ~mps
Phone ( 5 o'f~_~ ql')yU-2J2)btam4,O'~)i\!i~mp.,sih!,~f.Q'O 1 amps
~Q'''''!; lflecenter, (160~,amps I to 100'QYamps
Superv'isor License Number 20 2J1,Slberforthe Oreg&y~f.ii~qg;q~~p.7#..hol ts
venter is l_SCReconnec ttiton'ly n
Expira,tion Date 10-01-2001 v'",u.-<<"44j.
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Cost
SUi!;
$ 85.00
$ 15,00
.$ 40,00
$ 50,00
$ 60,00
$100,00
$130.00
$300.00
$ 40.00
50.00
$ 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 5
E.
Miscellaneous (Service/feeder
-Each installation
Pump ,or irrigation
Sign/Outline Lighting
Limited Energy/Res'
Limited Energy/Comm
5, SUBTOTAL OF ABOVE
7f1% State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$ 2,00 10 . 00
not included)
$ 40.00
$ 40,00
$ 20,00
S 36.00
60.00
'I. ~u
1.80
66.00_