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HomeMy WebLinkAboutPermit Electrical 1999-8-26 \CE' EII=1\'\EWORI( - ~01 'Ii S\-Ir>.\.l..E)(fll?; Ju.R(;I(lR$~i PERMIT APPLICATION 1\'\\S flERM DER1\'\IS pc.r\W'~ 'OR ,.rfI.lOR\Z.EOUN ISr>.\3r>.t-\tfli'@50b Number o/'7b 7/6 fY-J'" !l\CEOOR COMME! r>.'i~E.RI06'MPLETE FEE SCHEDULE BELOIl r>.t-\'i ~80 0 A. New Residential-Single or Multi-Family per dwelling unit. Service Included: 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION ON IN&-LATION o,f,::; ~ . LEGAL DESCRIPTION 1.2;)'33 J.'\ //()/~O JOB DES~""ION (':/7'1) G/cd_ ~,<-?t:i?>e'~ 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 contractorAPf',C:..u'lPIer:>><i' Address '2'::j-') L0 I J-t!l . Ci ty P (J1"l f l'fJ.L Phone 3~ (- alL Supervisor License Number :J.f,- -:(.b3-ccE Expiration Date r{)r/~41f Constr Contr. Number q..?-23:sf( Expiration Date_ tf)(=2lYQY Si~~,,"g ".,"",.. O""~,;~. t~7~t~, W&'fjl.j, D Address SX 11.'// ,~ Ci ty ,~r. ~Phone 01lNER INSTALLATION The installation is being made on E. property I own which is not intended for sale, .lease or rent. Owners Signature: ~~~~~-:;ij[!~-'-:-:-:~-;~----;i,-~-~ 5. RECEIVED BY: ".y vv ,'IV' Items Sum Cost $ 85.00 B. 1000 sq. ft.. or less Each additional 500 sq. ft or portion thereof $ 15.00 EachAI111j:Il(l.fi~ilI~HbnieJ'ot'<.m ,~...~""'.. I"~ Moq~~~wrmmllJji:rm-ad by the Oregon Ut'llll S~&~!l.l6t~1 aleedeifhOSe rules aS1 f4'l1.fRrll~ 'n OAR 952-001-001 0 throu9" OAR 952:otr1 sei({d~9y'6\f~~~L1ill copies of the rules by Ins'fa ~~~nu cl!~tte~tdlOntS1e tel~~ho~e or RiJu ~8Plhe Oregon Utility Notification r:etlter is 1-800-332-2344). 200 amps or Iess $ 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 $ 40.00 $ 55.00 $ 80.00 see ttBIl above volts Branch Circuits " New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) SUBTOTAL OF ABOVE 7% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 ~ $ 36.00 rl.,()1;) -? /_ II ?(.U? , S '7. ",0