HomeMy WebLinkAboutPermit Electrical 2001-02-22orhlN9raGLv
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The tollowlng prolect as submitted has the tollowing
ion,ng
-unO
,ioes not require specific land use
225 FIFTB SIT.EEf, APPTOVA|
SPRTNGFIELD, OREGON 97477
iNSPEgtION P.EQIIEST: 7
OFFIGE: 726-3759
PERHIT APPLICATION
ty Job l{unber cl- c0 ISc{t
3. COHPT,STE FEE SCffiDTII,E BE[OV
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
gach additional 500
sq. ft or portion
thereof
Each Hanuf'd Eone. or
-Hodu1ar.'Dvelling
Service or Feeder
s 8s.00
$ 15.00
$ 40.00
.8. Services or Feeders
Installation, Alterations
or Relocation:
c.
D
Zoning CL-
A -2.2-4 |
-(r^)
Adlnorlzed Signature
TJGAL DESCRTPTION/7 0 J 25 .?4 o556'D
JOB s
Pernits a.re non-transferable and expire
lf vork is not started vithin 180.days
of lssuance or lf vork is suspended for
180 days.
Sum
2. I
EIec
ctt
@I{ItsACTOR INSf,ALIATION ONLT
Sec"z'et 1.1 Area;r-:. Co R.P.
trical Contractor'
Address 2l ? H eito 5{- S€.
p6on" s.trclZB -lS{/
200 amps or less
201 amps to 400 amps _401 amps to.600 amps _
601 anfis to 1000 amps-
Over 1000 amps/volts
Reconnect OnIY
s s0.00
$ 60.00
$100.00
$130.00
$300.00s 40.00
ExP
Supe rvisor License Number ZO7 iJt-6
ExP iration Date lO - OZ
Constr contr. nu ae, 1O{7/
iration Date A- os
Signature of Supervising Electrician
Temporary Services or Feeders
Installation, Alteration or Relocation
toi ffi; io aoo anps
-
$ !1.99 -over 4b1 to 600 an-ps
-
$ 8o.oo
o;;; 600 "rp"-ot-ibooGft" see nBrr aE66
Branch Circui ts ; ..
Nev, ilteration or Extension Per Panel
Osners Signature:
:ri-'i.i'il:TuiltiiLJLU ' UJTI 'U VU
Onners Name
Address o
City 5pl*{.phone ?u11 -. JoaS-
-TUfOVNER INSTALT,ATION
The lnstallation ls being made on
property I ovn vhiLh is not intended
for sale, Iease or rent"
0rie Circuit
Each AdditionalCircuit or vith Service
or Feeder Permit
s 3s.00
$ 2.00
E.Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limi ted EnergY/l'es
Limited ener[Y/Comm t
SUBTOTAL OF ABOVE
'l?65tate Surctrarge
3Z Admini.strative Fee
TOTAL
w
$ 40.00
s 40.00
$ 20.00
s 36.00
ao
09'6
TOOI
DATE:II
CITY OF OBEGO'U
:' I L- i:i} ri?EOE EVEDu BY :
5
1. TOCATION OF INSTALIATION/?-39 H.e*ewr Br-reo. - ,
a t