HomeMy WebLinkAboutPermit Electrical 1999-5-25
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
,.fflTHORIZED UNDER THIS PERMIT IS N~[ECTRICAL PERMIT APPLICATION
9~:OOMMl9'lCEDORISABANOONEDFOR City Job Number 97//&0
ANY 180 DAY PERIOD.
3. COMPLETE FEE SCHEDULE BELOY
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
7. ~O ~ 1k:-,v~M 'M
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JOB DESCRIPTION
1- . Sey\,/I'ces
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Signature of Supervising Electrician
. '. (1~~ ..e1~
Ollners Nam~ ,\ch~Ll.L:~.r)
'Address 220? ffev!,If.Wo-
Ci ty ;:..iP", w~()A Phone
OWER INSTALLATION
The'installation is being made on
property I ovn IIhich is not intended
for sale, lease or rent.
Ovners Signature:
---------7~--r-------------------------
DATE: ("}.S' 1'1
RECEIPT II: 0'3 )J/ f /7/' / J '
RECEIVED BY: ' ~ V'/,.,J../
A.
Nell Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Ccs t
Sum
8~.00
1~,.00
40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.ifXl (){)
1000 sq. ft. or less" "d'.l\'" $
AnE!\~p.li)ta:a(! \~(i'~~~;),;&~g~n Uti lit)
tallOW AAes adoRil.'dpbt't \?~. are set lort.
NO\itic~t<!wteo'la~ :!~s~ ~n~ OAP Q<;2.{)01'$
. OA n01lanu1ltd"H"me orne rules by
10 ~';\ 1 . ''I!!!l''''' 01 I
0090. ~'1l-!=?)'-l;)bDli'eI' .~~ntPte\ep\1one
calli \ffu'tlt,cjl\\ortlF.e'ffi~'fy NC,ilit:-plion $
mhP.rtar the Oregon I , "344)
BtlU..::,'trr(l(i,cn~~isOrp.'Feeael.'s .
Insililtation, Alterations
Electrical contractorfu,'iclers ElerJV1'C' or Relocation:
Address Iq S Macll''S,<Jh 200 amps or less ~
201 amps to 400 amps
Ci ty [~ene Phone 4-'6S-[)C(L7 401 amps to 600 amps
'2 ('} 70 _ " 601 amps to 1000 amps
Supervisor License Number I ~ Over 1000 amps/volts
CK) Reconnect Only
Expiration Date r 0 -I - rr
Constr Contr. Number '7 n-12 C.
Expiration Date )(\.-I-qq
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 Circui ts,
$ 40.00
$ 55.00
$ 80.00
see: "B" above
.'
Nell, Alteration or Extension Per Panel
One Circuit $ 3:;.00
Each Additional
Circuit or ~ith Service
or Feeder Permit ----W- $ ~~.OO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited' Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
~ at. State Surcharge
37. Administrative Fee
TOTAL
. ,.1,
)2.00
no t included)
$ 40.00
$ 4'\l.00
$20.00
$ 36.00
112.'~
. 7- lJ'-f
S. J "
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