HomeMy WebLinkAboutPermit Electrical 1998-11-4 (2)
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SPRINGFIELD
ATTENTION:Oregon law requires you to .
225 FIFTH STREET follow rules adopted by the Oregon UtliUfCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 ~alUI~~~on Center. Those rules are set lqrth 9 f i 'J (/ ~
INSPEC:ION REQUEST: 7~~W!l52.001-0010throughOAR952.'oMY Job Numb,:r . 0
OFFICE. 726-3759 _ 0090 You may obtain cooies oU/;1cJ~\L.
. . .j . lll1g6~n'if "l'EE SCHEDULE BELOV
1. LOCATION OF INSTALLAf:f\9~g ~he ~~nber. (Note:.l~e e ~j. o~e
t;~.sT /hs ,j e.. ~j2l erC" ort'~,_~egol14lI!lty ~i1U IRlIffiential-Single or
) ~ollJ.o.,~~0-332'23,1l1hi_FamilY per dvelling unit.
LEGAL DESCRIPTION ;<l1"~~~~, Service Included: ., .
j'j 0 ').(J J-n.. / CJootJ . . ~ 'to Items Cost
JQB~R~Spq:p:gOt! . ./1)\ .q~~'~J:!:~b ~ . . ft: or less
t{)JJV Q),)I(^-D.1 \\~'C~~ij ",-.12- Eacli '" onal 500
J -~ ........f:t, ~sq. ft tion
PermIts a- non-transferable and exp~~ -7'? ~reof
if vork is not started vi thin 180 days I~ach Manuf'd Home. or
of issuance or if vork is suspended for Modular.'Dvelling'
180 days. rvice or Feeder
1-
2. CONTRACTOR INSTALLATION ONLY .B. Servic or Feeders
-V'f(' Cl -r Installat on, Alterations
Electrical Contractor D, S' 2-1 Le-I "OTI or Relocation:
. . 61<- '. J CEo
Address.,1r70 WtsT .I I -=- TH(SPERI~~~';~~~~s
Ci ty Phone AUTHORIZ@llJIW~1ii ilil ~OO ~Cf.I\
a O.I"J S COMMENC691 a~ps 'ffi$i'660fladlP~()T
Supervisor License Number 10 L/ . ~~~lU00A~~~~6~
"NY 180 DIRepenPu~ t Only
Expiration Date /0 ~ 9 q -
Constr Contr. Number ~ /1 S' I
Expiration Date tj- ()- f ...... 9?
I
Sum
r.f"'
$ 85.00
$ 15.00
3D
$ 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'"OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
~t;Z;71~ ~lectriC~an
ovn:'rs Name \'\'{l)~_(\_~ ~ N\QEOI){UJ) D.
Addr~~ ~\D~7i) t!fp~ ~ JW W-
Cityt;)jU1iJlo.~O Phone 74& ().EZ{)
OVNER INSTALLATION
Branch Circuits
,.
Nev, Alteration or Extension Per Panel
E. Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited. Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE . II S-,CJU
5% State Surcharge 5',75"
3% Administrative Fee ~.~~
TOTAL 1'7 '-/. 2"
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~~ignature:
-
-------f.--~-------
DATE: /1 4(~~.
RECEIPT #:
RECEIVED BY:
$ 35.00
$ 2.00