HomeMy WebLinkAboutPermit Electrical 1998-10-14
. 726 3689
02111/98 10: 22
SPFD DEV. s.
~001
ATrENTION:Oregon law requires Y&i>roNOFIELD
. 'I' liIi
NO',. __
THIS PERMI'r SHALL EXPIRE IF THE WORKn OAR 952-001-0010 through OAR 9
RMIT IS Nof090. You may obtain copies of the r
AUTHORIZED UNDER THIS PE . calling the center. (Note: the telephone
COMMr::NCED OR IS ABANDONED FO~ho !<mH\pber for the Oregon Utility Notification _
~NY 1il~)225( .......arSTREE'l' '~O~:;~e;.,~n~~~i~~:-332-234'Eu:CTRICAL PERIlIT APPLICATION
SPRINGFIELD, OREGoN 97477 ~'!'qulra" <11,_ /"}.(') n to '"
INSPEC'l'ION REQUEST: 726-3769nin~ 1Jecii4;~~.. JO.b Number VI X n'1 I)
OPFICE: 726-3759 bal. ~.. -Ille...... .
.1'1<(1......::-.. . COHPLETll PEE S..-...uI.E PELoV
1. LOCATION OF INSTAl.LAE:ON~p . . ~
6;1.F,1 7l7L<Au natura. .A. New Residential-Single or .
Hulti-Family per dvelling unit.
LEGAL DESCRIPTION . ice Included:
17 ~2- ~? ~, 1)7 A02-- . . Items Cost . Sum
v .
I. JOB DESCRIPTION
.R4aJ ~.'-
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereoL$ 15.00
Each Hanuf'd Home. or -----
Hodular'D~clling
S~rvice or. Feeder $ 40.00
i
I
Permits are non-transferable and expire
if work ,is not started within 180 days
of.1ssuance or H work is suspehded for
180 days. f
2. CONTRACTOR INSTALLATION ONLY .D.
~&7'M"c..L> 5
Electrical Contractor .6'c.6-r'.?t ~/tCCJ
Address::? /7<> W. 2-~ AVc"',
City ~'7~R.~, Phone...341-?-7297
f' i
Supervisor License Number ~,,_/~~~
-ZS-ZCJ-.5 I
Expiration Date /(J-9.?i
Cons t r Con t r. Number / 7.? <::;-.?
Expiration Date /O-<j?Jf'
Servjces or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00 CSo. ,-
$ 60.00 ~-
$100.00
$130.00
$300.00
S 40.00
(
I
C. Temporary Services or Feeders
Installation; Alteration or Relocation
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 volts see DB" above
Signature of Supervising Electrician
(k4'~--~~
ovnertZme....IlJe.YOA! U1- 5I:J.:: &M..I<.. D.
Address 176 _'\. ,.:;"L-J;b.~
City ~~Phone
OllNER INSTALct.TION
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service;/
or Feeder Permit Lf
$ 35.00
S 2.00 v....--
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or.irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
S 40.00
$ 40.00
S 20.00
$ 36.00
~ II 'if, ---
5.C,b
.3.,<;.:L1
-.Ldl. ...;...,
Ovners Signature:
----------------
5.
SUBTOTAL OF ABOVE
5% State .Surcharge
3% Administrative Fee
TOTAL
DATE: . /0 -
~v~.&.iL'f:
RECEIVED 'BI:
/ '-1- CJ <('
~ 11<50
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