HomeMy WebLinkAboutPermit Electrical 1999-10-6
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SPR'_'ELD
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The toHOwing pro\e~ot reQlJtre speCI1C
nO does
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Dale ~REP~1~l:l\rIH~~ PERMIT APPLICATION
974"'Y.'00'00 S:WTHORIZEDUNDERTHISPERMlTISNOT fi'1' /5 rC
726-3769 COMMENCEDOR1SABAND~Fe~b Number 7 .J I
ANY180DAYPB810~HPLETE FEE SCHEDULE BELO\l ~
1. MlCAr!QN OF INSTALLATION,.
~) 'O'7? Un J~ S, . A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DES~PTION Service Included:
/1/)"])Lf 52 0051/ Items Ccst Sum
. . rBUU\I!db yo\.. .~
" JOB DESCRI~~ I 2 C i/J,~\, I 'JI~'..Jl"\lv'lOOO sq.,,~k'llii'r,t\less
::-:'la..~ <t (J, n~""" ~. """1]'d\l"~.adoP'eCE~~~e\\g'g'h~jg!1a.iJ!~:OO
o 10',";''' ;,-'nC."nle!.Tnsq~ (lft,..,or\\p-Q.F,t(ion
Permi ts are non-transferable ailll)'~'~ili'te.001.0010itner."~0\f~~e rules b,;
if work is not started within IB0)rdaY!?'\nay Ob'a;Eacnll'i1a'r\~tedh!l.ome. or
of issuance or if work is suspe!)'d'e'd. ~(Jth center. \HCidu~?~;Jiow~l!~!1g
180 days. ca\\logtt e tneOretS,ei,;;i'2e~oi:"Feeder
number Of I....,.:e-': _;;('I,~,,"<"'Jr:._f) .{J.D..
2. CONTRACTOR INSTALLATION ONLY CA""B: Services or Feeders
Installation, Alterations
or Relocation:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Electrical Contractor 'P.c ,,'Irlers flerJ-vyC'
Address lq S fvw..d .'SOh
Ci ty E\~ev-\e Phone 4-~-D02.L
2970-:5
Expiration Date (0-/- 9Cf
Constr Contr. Number. '7 n-/2 C.
Expiration Date~
Supervisor License Number
. Signature of Supervising Electrician
.... C~-eA~'
Owners Name Pr /l0l-n+~ .
'Address S9 q? Do I /'0'\
-:;; of 101 Phone
City
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for' sale, lease or rent.
Owners Signature:
DA~E~-----------------------A;;r6Jf9~-
RECEIPT #:_ rn ,7<1 '> (. I
RECEIVED BY: ~ 4/
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 8~.OO
$ l~,.OO
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see; liB" above
"
Nev, Alteration or.Extension Per Panel
One Circuit ) $ 35.00 35. CD
Each Additional
Circuit or with serv~ 2.00
or Feeder Permit $ ~~. 00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 4b.00
Limited' Energy/Res $ 20.00
Limited Energy/Comm '$ 36.00
5. SUBTOTAL OF ABOVE
1Bt. State Surcharge
3% Administrative Fee
TOTAL
37-.00
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