HomeMy WebLinkAboutPermit Electrical 1999-7-9
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. Date '7-1" -'1 '7.
IIJ'h2~d~mr;n\r.t.l ~ NOTICE: ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97fflSPERMITSHALlEXPIREIFTHEWORK C1< 00
INSPECrrON REQUEST: 72\UTfl@1llIZEDUNDERTHISPERMITISWbfob Number /1 7 2-9
OFFICE: nt'.-3759 COMMENCEDORISABA~.D~..:;J~ FEE SCHEDULE BELOII
1. LOCATIOr.' OF INSTAL8tf!fiWODAYPERIOD,
(,ICo 1Y)<L1\", ~'O lA
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
~D'A_' 1=1_.+~. '\ Installation, Alterations
..Electrical contracto_~erll;U-o~.Relocation:
Address ~f"'\ ~ 0 '" ~:>-, . 200 amps or less
. ' _ l~TIEN;:I;I.Qj\J:o. . 201 amps to 400 amps
Cl ty t-_HA!I~,t.. ct\l..tlJ~hone~regon ra\40hil/lllls; ItPJ ~.90 amps.
. \ Not;f; ~r~~-- uuupted by t601Camp's nt91i1hgDD amps
Supervisor ~i cense Numbe'i~:~enter. ThosEOver,sl.QQ.o3~,"!p,Mlvol ts
. 009' ,w~-\N,'uOl0throR~cOM~~!52!t!-J1.
Expiration Dcte' /If)- (- ~~:..YoumaYObtalncopjesoftheruleSb" .
_U'''''!! I"" center. 'lll!ot€TeJIlp'orary~ Services or Feeders
Constr Cont:.. Number ~~erfortheOreg\onuinsia.ri'ar.'i':t1A': Alteration or Relocation
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venter IS 1-800-33:>-?344)
q - (If -tJ/) 200' amps"or less $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 vol ts see "Bn above
/1 ifflf:P"3sf;IPTION
1/000
JOB DESC?.IPTION
W,...."'_ 0.1>'" \::'..LN""^l'I o. cc.. A Ie:..
Permits ar~ non-transferable and expire
if ~ork is not started .ithin 180 days
of iss~anc" 0" if ~ork is suspended for
18.0 days.
Expiration D2.~e
Signatu~~~::e~ct;ician
O',.'ners l\arn€
O("d~~
W,U
,.dd ress
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OYNEP, INSTALLATION
The installa::on is being mace on
property I o~~ vhich is not intended
for sal", leas~ or rent.
.
ners Signature:
DATE:. 7hir?
RECEIPT ,: /J 0341'"
REow.a. ...... BY: &o-f r..I i>J.
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A. Ne. Reside~tial-Sin61e or
Multi-Fam::: per d~ellinb
Sen-ice Inc:uded:
1000 sq. i:. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf' d Bome. or
Modular 'D~elling
Service or Feeder'
D.
Branch Circ~i ts
uni t.
Items
Cost
$ 85.00
$ 15.0e
$ 40.00
$ 50.00
$ 60..00
$1.00.00
$130.00
$3.00..00
$ 40.00
Nev, Alteration or Extension Per Panel
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One Circui t ---L-. $ 35. 00 :~,<\ &-0
Each Addi tional
Circui t or .': th Servici'
or Feeder Permi t ---1- $ 2. 00 ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Lilli ted Energy IRes
Lilli ted Energy /Comm
5. SUBTOTAL OF ABOVE
~% State Surcharge
3% Admiiifstra ti ve Fee
"-.', - ~
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not included;
$ 40.00
$ 4.0.00
$ 20..00
$ 36..00
~ '16-0
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