HomeMy WebLinkAboutPermit Electrical 2001-07-09C,ITY OF ONEGON
SPRI]{GFIELE,
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225 FIFrE SIREET
SPRINGPTELD, oREGoN 97477
TNSPECTTON REOIEST| 726-
0FPICE: 726-3759
Date
a6
nol require specific land use
b
qy,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder
Services or Feedersfnstallatioa, Alterations
or Relocalion:
200 amps or less S201 amps to 400 amps
-
S401 amps to 600 amps
-
S
601 amps to 1000 amps- $
Over 1000 amps/volts
-
SReconnect 0n1y S
225 FIFTH STREE I
SPRINGFIELD, OR 97477
(S4t) 726_9753
FAX ,541) 726_3689
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1. LOCATION OF INSTALI.ATIONtql tV. 3q/^
I.EGAL DBSCRTPTTONlfoT 3r ql
JOB DESCRIPTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CO}ilRACTOR INSTALI.A:TION ONLY
Electrical Contractor A.DT Security Services
Address 4660 Main Srree t, Blde A. //100
Ci. ty Sprinefield Phone 736-4973
Supervisor License Number 853 JLE
Exp irat.ion Date t0/01/02
c
Constr Contr. Number 26209CL8
ExP iration Date 10/01/0L
Signature of Supervising Electricianzb,-
D
0wners Name i'c> (
Address
Ci ty pnone 7<l r7 *74yL
OIJNER INSTALI..ATION
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
BI,BqTRTCAL PERilTT APPLICd,TION
,lggorizeo
gtdhature
City Job Nruber O( -OO6ti/-O
COI{PIJTE PBE SCEEDI'LE BELOV
Nev Residential-Sing1e orMulti-Family per dvelling unit.
Service fncluded:Items Cost
3
A
61c1OO
B
s 8s.00
s 1s.00
$ 40.00
130.00
300.00
40.00
Sum
-Jx
50. 00
50.00
100. 00
Temporary Services or Feedersfnstallation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
0ver 401 to 600 amps
-
S 80.00
Over 600 amps or 1000 voTts see rrgrr
"fiffi
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)p3--{ El
-Each installation
Pump or irrigation
Sign/Outline Ligh ting-
Limi ted Energy/Res
-Limited Energy/Comm
s 40.00
$ 40.00
s 20.00
s 36.00
-:--
=;'av<l: r
o SUBTOTAL OT'ABOVE
7% State Surcharge
3Z Admini.strative Fee
TOTAI,
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C{]
RECETVED
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