HomeMy WebLinkAboutPermit Electrical 1999-02-23s . \.GF'ELI'
Zoning LD l"-
Dete a.-\3 *.
IruthoAred Slgnature
225 FIFTfl STRXET
LOCAq 7 f TYUT'W
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SPRTNGFTELD, oRIGoN 97 47fu"rH1R[f,D UNOER IHIS PERMIIIS UQ['y .loU Number ?INSPECITON REQUEST:7 26-37 69
OR iS ABANDONED FOR0FFICE: 726-3759
3. COHPLETE FEE SCEEDULE BELOTI
1.TION OF
JOB DESCRT ON
Permits are,non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALT,ATION ONLY
Electrical Contractor €r
Address\95 lt4OdiSOn
city 6 Phone 4K6'z
Supervisor License Number z9 a)-s
Expiration Date Itl- I -
IH|S PERfu,IISHAIL
EXPIRE,F IHE WBHFTRTCAL PERMTT Appl,rcArroN
A. Nev Residential-Single orMulti-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or l-ess
Each additional 500
sq. ft or portion
thereo'f
Each Manuf'd Home. or
Modulai Dvelling
Service or Feeder
$ 8s.00
A
LEGAL DESSRIPTION
/70311 t ?- 04fao
B. Services or Feeders
Installation, Alterations
r C[aQr Relocation:
s 1s.00
s 40.00
Sum
10n
a6ove
consrr contr. t"',0". +Zq ffir,=[1]?];?li3
200 amps or less f $ 50.00
201 amps to 400 amps F S 60.00
401 amps to 600 amps $100.00
60L amps to 1000 amps- 5130.00
Over 1000 amps/volts 5300.00
C- Temoorarv Services or Feedersorlrav:i'ffgtttiitiot , Arteration or Relocat
d by the Oregori Utillt)'-
tu:
Expir:ation Date
Signature of Su
2"
pervising
SS0 anps
0 amps
the center. (NoteO$E*e&MtoUmps or i000
for the Oregon Utility Notification
00
00
00
Btt
$ +0.
s ss.
S Bo.
seett
4
cqlling -voTTs
ciry /la{cr/,?phone 73r* rs56
Ovners Name fr:a c"ffr
/.0.60* ?zr
1 -800-3&at{4). Ci rcu i t s
Nev, Alteration or Extension Per Panel
One Ci. rcui t S 35 . 00
Each Addi tional
Circuit or vith Service
or Feeder Permlt 2- $ 2.00
Add res s
OIINER INSTALLATION
The installation is being made on
property I ovn r,rhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation S
Sign/outline i,ighting- S
Limited Energy/Res $
not ineluded)
40.00
40.00
20.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
I
RECEIVED B
o
5 {{.Qo