HomeMy WebLinkAboutPermit Electrical 1999-2-3
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The, following project as submitted has the followln
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225 FIITH STREET NOTICE' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON 97477 THIS P . t:;a -
INSPECTION REQUEST: 726-3769 ERMITSHALL City Job Number / /0 /<-(S
OFFICE: 726-3759 AUTHORIZE EXPIRE /1::,..,,_
COM D UNDE:3~ ~ CpHPLETE' ~EE1/\SCBEDULE BELOY
1. LOCATION OF INSTAL~TI.ON MENCED OR "H/~ PERMIT I ^~'_
d-.\.). \ Ii 01 J rlf'V\ Y~Y'i ~~.Jft<d", _ ISA1.8A/N_e"'iNResja'lenlt'ial-Single or
j J" "ERIOD Hult'iYF,Cnfily per d...elling uni t.
LEGAL DESCRIPTION ' Service Included:
!7 0 3 2-1.{ I..{ ~. 0 ?- 71./ t:J, . to
. .' ~'WreQUlresYou.
\... .J.Oll DESCRIPTIONn A1iEN1IoN"orego" )~Ie'tll~ag.o.n \l~"t~s
I \'CO:\ \UVYlv') <: tu V'VlQ cf' I:;"~'" rilles adop:e ie;ij re~iarfjl8fil~J>~1~o
r "'l:Ptitica\iOn C,ente. ,i.,qou~Q>)R ~'ilr'Prgn
Permi ts are non-transferable an C\~~5!!_001.0010 ~H~~!l~l the rules Y
if work is not started within 1al]' ~maYObtatn.~fi~flra!J~e or
of issuance or if ...ork is suspe'iWI~ i\i~~l(he center. Ii'/) I IV tQ!jll!Wi"g
180 days. ca berlor the ores~'t 3z!234~),Feeder
num teris 1_800-3
2. CONTRACTOR INSTALLATION ONLY cen,B. Services or Feeders
C 'C' Cl J..,' - Installation, Alterations
Electrical Contractor '5: I) 0 t'U VIC,J~I\C. or Relocation:
Address (J,O. 60'l14~J-
City 0fPct Phone 7LJl-;l.;),3b
Supervisor License Number ) 1o? I:)
10 - () I -CJ I
d-D1l..f:L
Jf1~o {-c; 9
~Da.
Date o..~ '), -"'I "\
Authorized Signature ~
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~
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Expi ra t ion Da te
Constr Contr. Number
Expiration Date
Si~ture of Supervising Electrician
\kl_- Q~~
oJ~s Name A-\ ld'_ Hel rboug t'\
Address ,:)...[ d-.l Hnllctev\ ()yic'/1fPcL
Ci ty S~ P~one 74/n - 'riio5 f
I
O\INER INSTALLATION
The installation is being made on
property I o...n ...hich is not intended
for sale, lease or rent.
Ovners Signature:
-----------~-T-------------------------
DATE:_ L./l/f'1
RECEIPT #:.: '1112 'U.. ~ .,
RECEIVED BY: J tJ~
Items
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnec t' Only
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 100u
volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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Ne..., Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ...ith Service
or Feeder Permi t ~ $
$ 35.00
35.00
2.00
If,OD
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 3q.o 0
5% State Surcharge !.'1 Q
3% Administrative Fee L 17
TOTAL 4-;;1.., I ::L