HomeMy WebLinkAboutPermit Electrical 1999-06-03C'TY OF OFEGO'U
225 FIFTE STREET
approval
Zoning
SPRTNGFTELD, OREGON gfrl?
INSPECTION REQITEST z 7fr.fr,rcl3.Z6fcisnature
OFFICE: 726-3759
1
The following project as submitted has the followingzoning, and does not require specific land use
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SPF|'' =IELO
CAL PERUTT APPLICATTON
ftems Cost Sum
ess
500
s 8s.00
nrt
LOCATT0N oF INSTAIIITIOry 4q 3
A
D. Branch Circuits
ty Job Number ?707/f
COHPI,ETE FEE SCMDULE BELOTI
Nev Residential-Single orMuLti-Family per dvelling unit.Service fncluded:PTION
/0230 t
JOB DESCRTPTION 1000 sq.ft. or I?UIUA- Each additionalH?F f^l ,5a
Permits are non-transferable and expireif vork is not started vithin 180 diysof issuance or if vork is suspended ior180 days.
2. COIITRACTOR INSTALI,ATION ONLY
Electrical Contractor
sq. ft or portion
rjlf;ifi ituf ,tr\idfrE%paor*erur re$ yli r9o
uoddhy[ rUeE 0fl pRFdby the Oregon Utility
s ElBtilrgCti grtCp5ffi[ fnose ru I es are Wl !ffAh
r n OAH 952-00 1 -00 1 0 th roug;ffi AFI9SZ-OUIB. SeOO9OeVoufneFCE&B copies ot the rutes by
r n s t olll irgittn pealqE tuetfb fl3€ tel ep h o n e
or &eihobatfboffe Oregon Utility Notification
- eenteris 1-800-332-2344)"
200 amps or less S 5O.OO201 amps to 400 amps
-
S 60.0040L amps ro 600 amps
-
SIOO.OO601 amps to 1000 amps- StgO.OOover 1000 amps/voIrs
-
s3oo.oo
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less S 4O.OO201 amps to 400 amps
-
$ sS.OO0ver 401 to 600 amps
-
$ 8O.OO0ver 600 amps or tb0Olro-Ilts iee ,ni aE6Ie
Address
citv NorlCE: Phone-
Supe r v i s n f,HlS pEH[UlTIflil$Lf EXP IRE I F TH E WoRK
U N D E R TFIISPEFMIIT$NOTExpiratio
Cons tr CoTANY lB0rmYPERlOD
Expiration Date
Signature of Supervising Electrician
Ovners Name Ea^Z G,&/{rza*'z
Phone
OVNER INSTALI^ATTON
The installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
Oynefs Signature:
Nev, Alteration or Extension per panel
Circuit or vith Serviceor Feeder permit _ $ 2.OO
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting_-
Limi ted Energy/Re
Limi ted Energy/Comm
7J > q/'
Ci ty /2 7L/
L/-4/-/z M
$
s
$
s
00
00
00
00
40
40
20
36
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAI
DATE:
RECETYED B
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