HomeMy WebLinkAboutPermit Electrical 1998-8-28
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app<OI/a1,
j/' OrJJl5i~,- NOTICE:
\''t'A:IIS PFR^1IT Sllfll[EXPIRE IF THE WOR .
225 ~.<r'dt ~~ AUTHORIZED UNDER THIS PERMIT IS N ~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9(-.{<"1."JJ OT c;
INSPECTION REQUEST: '12'6"~~~~~ED OR /S ABANDONED FOR City Job Number I~ 10 (, 6
OFFICE: 726-3759 A.NY j(lr, r',,1'( Pr:RIOf)
3. COMPLETE FEE SCHEDULE BELOY
1. ,....-,LjlCATHlI>I;,OF ItlSTAL,LATIQ~' J ...... "7 .
~f.-Li ('" ni;)tI) ~. ."'1 <;;fl,/H4A. New Residential-Single or
., Multi-Family per dwelling unit.
, P;~AL DE.-S,CRIPTION:> 1:---- Service Included:
_jlA4J I[),_ 1:'>. .tJ.J;.p - I~L- y(,~ . Items Cos t
/7tJ 1 '0'-;" ()in,tJiJ .
fo DESCRIPTION . 1000 sq.ft. or less $ 85.00
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
ModuIa~' 'Dwel1ing
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ -I Installation, Alterations
Electrical Contractor'ti&'~51"'~ l--/c!"d~ or Relocation:
Address S'8Skk- R"f.-;~ ~5 200 amps or less -/-- $ 50.00 .fZJ
/ 201 amps to 400 amps $ 60.00
Cityr!mL''/OIv('e-:,()A Phon<i'5'<//) Y97-'?G<;'j 401 amps to 600 amps $100,00
r-- 601 amps to 1000 amps $130.00
Supervisor License Number 5'93/ oS; Over 1000 amps/vol ts $300.00
I'" / 90 A"""'ENT' ION:O~~9cgg?,f~ fe~~ you, t.o $ 40.00
Expiration Date "J ~ .1 I I
- - follow rul~.ad<'l1E!filec.l1YatPy q;~fl8r~~wt~fi Feeders
Cons t r Con tr. Number 2?7J?7 Notification centrns1taq~(~,rtJ1'8~~Rr~~~~d'1t..ion or Reloca tion
in OAR 952.001-0010 through (j" ,
n.QlllL.You may QlOOirafiljl@iBfu'lfl'e'SileSbY$40.00
. calling the cellCtl'. ~g: ttl)llJi~ ,s $ 55.00
Signa tu;: ::Jng Electricia'number for thO:J.S'lmgttlOU)ti,1Y l'6'Q101G1l!,' ft $ 80.00
.. C'.' . . '. CenterQyM~:afiljH;4hr 1000 volts see "B" above
~~( a a ~
, . _ D. Branch Circui ts
Owners Nam~;lI-CJa..-"7~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or :i f york is suspended for
180 days.
Expiration Date /n-/-9:f
Address fJ85'J='ii'
Ci ty.,c/ote/>'>-<<,Ir
Cu,..J,'r. ~r;-
c:k. Phoni' 5'0) 997 -3 CS'I
OYNER INSTALLATION
The installation is being made on
property I oyn which is not intended
for sale, lease or rent.
Owners Signature:"'"
-----------------7--1-----------------
DATE: 15" U 19 I!
RECEI~T* : '--;" '3llin I..; / '
RECEIVED BY: - t<-r {,.N~
~'f'
'.., I
.'"
".",,--, j ~.~
.' r
...' :
Sum
$ 15.00
.$ 40.00
"
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t 27J2-- $
2.00
'-IV
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'1 C{ 0:{
SUBTOTAL OF ABOVE
5"%, State Surcharge
3% Administrative Fee
TOTAL
t-f. 70 / '-" l> t-
I /0 I. <;)...
.
S.FIELD """..
op"rovel.
,I' ZoplnJ(~ NOTICE:
D.la~ THIS p ,
'(\ ~ ERMIT ~}jALL EXPIRE IF THE WOR
~'t~orfflfWn~-lli:E't. AUTHORIZED UNDER THIS PERMIT IS ~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9(-.{<"1."JJA NOT t10
INSPECTION REQUEST: '12'6"~~9~~ED OR IS ABANDONED FOR Ci ty Job Number I () 10 b 6
OFFICE: 726-3759 ANY 180 DAY PERIOD
, . 3. COMPLETE FEE SCHEDULE BELOY
1. QLjlCATI~Of, If'lSTALLATlQ!-j..,
7 b L/ 64/'" bOr I) '>.Y. A. New Residen tial-Single or
Multi-Family per d~elling unit.
. P;~AL DE~CRIPTION I Service Included:
_i~,~ r-~ - !31fi/L{P/r -Yc,.A...u:... Items Cost
, JOB DESCRIPTION! ~ 1000 sq.ft. or less $ 85.00
/-;1 173 3~;;J O!)-UU Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Sum
$ 15.00
,$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ -I' Installation, Alterations
Electrical Contractor1Jii./~~-,1-" l--/c!"~ or Relocation:
Address S'8C;k~ R'<H~ ~~ 200 amps or less / $ 50.00 .fZJ
..-I- / ~ 201 amps to 400 amps $ 60.00
Ci tyHew2V(!/J,('u Phon<(5'</I) 9-97- ?G~/ ' 401 amps to 600 amps $100.00
~ 601 amps to 1000 amps $130.00
Supervisor License Number 3'93/-~ Over 1000 amps/volts $300.00
Recon{lec fOn~ u to $ 40.00
Expiration Date 1t'J-/-9R ATTENTION:Oregon1aw equl Y~t'1'l
follow rUI~.ad~flc.l1YJrf q;~@8r,~~~ Feeders
Constr Contr. Number 2?7J?7 NotlficationCentrns1taq~lh~*6~~\~~~tion or Relocation
in OAR 952-001-001 0 through C'J: --
Expiration Date /n-/-~(i' o~YoUmaYQlOOirafilj\!Sie&f>fl'e!SileSbY $ 40.00
calling the cellCtl'. ~: ttl5llJi~ s $ 55.00
Signat;:zJre of Supe ' 'ng Electrici~umberfortheJSlmg<tlOUJti'IY~IGilIi ft $ 80.00
, C'." CenterQyM~:afiljl44hr 1000 vol ts see "B" above
~(t/
, , ,_ D. Branch Circui ts
Owners Name~;lI,r,-~~
Address [l[i').F1i' eu~i'^ ~,<;'
Cityll~/r Ck Phon(5'<!,) 997.Jc:;s-(
OYNER INSTALLATION
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
Ovners Signature:
-----------------7--~f-----------------
DATE: 1) U/'1 Y I!
RECEIPT tI:. n 31(fJ-} . l..:. ,,/
RECEIVED BY: tV' f/VtIfN(!
.'
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service Lfll
or Feeder Permi t 2712- $ 2.00 -, '1
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Pit( 0:/.
I
tf. 70 /
,
"-l) ~
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