HomeMy WebLinkAboutPermit Electrical 1998-11-16Jhc, lollowing p,olect 8al&fi*t* lteltho
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225 FIFTE STREET . I ,,
SPRTNGFTELD, OREGON 97477 \f -lu
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SP JFIELD
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CQHPI,ETE FEE SCEEDT'LE BELOV
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Nev Residential-Single or
INSPECf,ION REQUEST:
26-
D0
7CEOFFI
1.
3
7
F
f>
3
0
r!
^Kv'.''f*G
/1 6? es-ro
Mul t i-Fami
Service fn
Iy per dvelling uni t.
cluded:- IJGAL DESCRIPTION
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JOB DESCRTPTION
e
Permits are non-transferable and expireif vork is not started vithin 1B0 days
of issuance or if uork is suspended for
180 days.
Y
the center.
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular Dvelling
Sertice or Feeder
One Circui t
Each Additional
Circuit or vith Serviceor Feeder Permi t
B. Services or FeedersInstaIIation, Alterationsor Relocation:
, 200 amps or less
zOL amps to 400 amps
401 amps to 600 amps
-rvo fl 6E,"16Bo, l, ll?1" iT: "_
#dffim'
Over 401 to 600 amps
-Over 600 amps or 1000lolfls
D. Branch Circuits
CoS t
s 8s.00
s 1s.00
$ 40.00
rs
ReIoca t ion
Sum
.00
.00
.00rrgrr u[frf-
s s0.00
$ 60.00
s100. 00
s130.00
s300.00
s 40.00
;flit?
- Center is 1bupervr.sor
.-----T-----
Address )O o €Pr^ t .,0 0At il
Ci Phone 7'/t- z /dZ
OVNER TNSTALLATTON
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
cense Numb
Expiration Date
Constr Contr. Numbe
Expiration Date
Signature of S rvising Electrician
0wners Name' Klt '/ ,//, t -fion sc.-.A
S40$ss
SBo
see
$ 2.00
ruto
Nev, Alteration or Extension Per Pane1
$ 3s.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Lighting-
Limited Energy/Res
Limi ted Energy/Comm,Z-,2/.,
$ 40.00
$ 40.00
$ 20.00
s 36.00
4o. ogSUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.strative Fee
TOTAL
J
CITY OF ONEGON
PJ;CET
REcETvED BT:r- 4 u^/ '--
5
set forth
\ BLECTRICAL PERHIT APPLICATION\(/) - city Job Numbe. 78 /r/ zq
i follow rules
NotifiElBon OFdUar'
tn -0010
obtain of the rules
I
I
i
The follcwing proiecf a ra*itrli b in tefg
2oq j: ';1 9111, cr:res not requlle apeclfb hnd ulc
efr,
SPF|. FIELEI
ELECTRICAL PERHIT APPLICATION
ity Job Number ?fr /q zr
CqHPLETE FEE SCBIDLILE BEL0V
rtl
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Incfuded:
I tems Cos t
a!.or'>val.
Zoni
oo J-lsf 3
J c..
/l
225 FIFTE STREET
SPRINGFIELD, OREGON \tan--lw
INSPEC:TION REQI.IEST: .-
OFPICE: 7 59 ST St
1
QDn ^KYt,'
-/-//1
LEGALxi Z)4?
G
/a 6 7 ds-ro
f
Permif v
ofi
180
2.
EIec
Add r
Ci ty
Supe
Expi
Cons
JOB DESCRIPTION
its are non-transferable and expire
ork is not started vithin LBO
ssuance or if work is suspende
days.
CONTRACTOR INSTALLATTON ONLY
trical Contractor
ess
law
rvi.sor L
ration the
thetr Contr. Num
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
1
er
04R connect 0nly
by Temporary Services or Feeders
Installation, Alteration or Relocation
tions
s 8s.00
s 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130. 00
s300.00
s 40.00
Sum
0-
" aEiE-
Expi::ation Da
Signature of
200 amps''or less -1- S
201 amps to 400 amps S
Over 401 to 600 amps
-
S
0ver 600 amps or 1000-ii6fTs se
40.0
55.0
80. 0
e ttB
rvising Electrician
0vners Name Ktw, pA r - 0r- tc.,*k
Address lO o €,un^ rJ 0A t it
Ci ty Phone 7 ql- L/tL
OVNER INSTALLATION
The installation is being made on
proper ty I ovn r,rh i ch i s no t in tended
for sale, Iease or rent.
Owners Signature:
DATE:r
PT
te
20L amps to 400 amps
401
t-
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini.s trative Fee
TOTAL
amps to 600 amps _amps to 1000 amps
1000 amps/voIts
0
0
4oJo
Neu, 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)
-Eaeh installation
Pump or irrigation
Sign/0utline Lighting-
Limited Energy/Res
Limited Energy/Comm
cf rt. oo
s
s
s
s
40.00
40. 00
20.00
36.00
L.O J
RECEIVED BY.
1(/G
5
-2d
na l,
or /SNOI
amps
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