HomeMy WebLinkAboutPermit Electrical 1999-4-23
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n,.~, following project as submitted has the following
W u." SUlEET ~V.: "9 ana does not requrre specific land ul!ILECTB.IC&L PElIHIT Al'PLJ:CATION
SPIlI:NGrIUo. OREGON 97~"'fr"' J.... a 0 /2 / f
INSPBC1'ION BEQUEST: 72G-37Gtoninr /..1 I '"" ~y Job NWIlbel: t 0 b
OFFICE: 726-37.59 Date "I-.;J '3 - <i "l
3. l;OlIf_.1t FEE SCHEDULE BELOll
1. I,QCATION QF ;tNSTALLAmO!.c1igl'a\ure .~,
IOU 1(\ It: K(\lt~ \ U 'LLLl...lJUv'tA.
I.ECAL DESOUPTIQN
I7fJ3/;lo (0)00
Nev aeslo.ntial-Single or
Hulti-Family per dvclling unit.
Service Included:
Itelll$
,lllB D~m.ON r-ll. 1000 sq.ft. or less
f..lP--\- c....,Ct:U...D.,u f-~ll ~,lf\<::r Each additional 500
sq. ft or portion
Permits are non-transferable and e<c~~1~nON:O'8fM\'''~9fe~uiresvouto
if york. h not started vithin l80"daY$ EAffi,!.!l\!l.1,I :A.AI9B~iW
of issuance or if york 15 suspencle\!)'fcfi'1es adoplll{Q.~l!llit' I ij"!Wm~rth
180 days. . Notification Center. sU;;fc'ill\l~ ... S
. in OAR 952-001-0010 through OA 01-
2. CONnlACTOR INSTALLATION ONL~090. You m~~obs.i~tc;essOll tlleelllflfsbV
. calling the centg:p~it:da":'.':"""le[l/Jrrlira t ions
Electrical ContractorSecureCom.lnc :1::7=~~forthe C1l!1g~!fl~~'Q~fication
Address 1128 Gateway Loop. Suite 122. Center is 2o'lP'hvr~Mk.
201 amps ~o 400 amps
Cl ty Springfield Phone 988-3585 401 amps to GOO amps
601 amps to' 1000 a~ps
Supervisor License Number 7~LE Over 1000 amps/volts
Reconneet only
Expiration Date 10101/99
Constr Contr. Number3-353CLE
10/01199
Expiration Date
Slgnatul:e of Supervising Electrician
Cost
Sum
$ 85,00
$ 15.00
$ 40.00
$ 50.00
$ GO_OO
SlOO.OO
$130.00
S3oo.00
S '0.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 ups"or less
'-201 ups ~o 400-BIIps
Over 401 to 600 amps
Over 600 amps or 1000
voJ.ts
~ - -e.- - ~.
;;.--
-
Branch Circui ts
Nev, Alteration or EXtension Per Panel
S 35.00
Ovnus Name.Ot'S\6-r\ S'4'STf.-N\S D.
Address e 0 e,O~ \ Loa u
Ci ty{> ()~ IL6..f\O Phone'X:>?"'1.. '\ \ 'Q...oI ":)
OVHER XNSTALLATION
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
S 40.00
S 55.00
$ 80.00
see "Bte
above
$
2.00
E. Hiscellaneous (Service/feeder no~ included)
-Each installation
Pump or irriration S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Lilllited Energy/Comm S 36.00 ~-
The installation is being made on
property I oun vhieh is not intended
for sale. lease or rent.
Ovners Signature:
DATE;-----qtli;q~-------
.".......<1' w: (}~l"'fl,
...........'ED BY: 0-1' "'-'-t(
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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