HomeMy WebLinkAboutPermit Electrical 1999-6-1
The following proiecl es submitted has the following
zoning, and does not require specific land use
approval. . ~V
Zoning
Dale 22f1i-l~~ fsTREET \\I01!C~: ELECTRICAL PERMIT APPUCATION
~S1'RINGFIELD, OREGON 914/1 ~PERMITSHAU.EXPIREIFTHEWORK 0' Q.
AUlhorize"I'l'i~~Ji: ::.3'a'Ji:F.ff'; 726 3 IZEDUNDERTHISPERMITlSlCJdfb Number_? ./ &0 t? ,7
OFFICE: 726-3759 *
r.nMMBI!CEDORISPa~fl:)IfEE SCHEDlILE BELOII . '
1. LOCATION OF INSTALLATroR"'''::-::-::''-.-:-:. ' .
5"1917 /7,o//v- ANY 180DAYPERIOQ. Ne" Residential-Single or : '.-
.' Multi-Family pe~ dwelling unit. '
LeGAL 'OESCRIPTIQN Service Included:
17()2"J~ ~I 1)(,5{)~
JOB D&SCRIFTION .
tA- /A r A>O~;//";
200 amps or less
201 amps to 400 amps. .
City..sPRINGFIELD Phone 726-6701 401 amps to 600 amps
601 amps. to 1000 amps
302~=S ENTION:Oregoro""'eWr' 9.;.wO";'a~mo",." 'vol t s
Supervisor License Number ~ v. .nvv ~~f.
. IUIIU'" u;"" adopted RlI1:"cFnhiI\;,!iOohl~' y
Expi ra t ion Oa te 10101/ClCl Notification Center. Those rules are.setrorth
in OAR 952'001-ce~10;reilip'odiYy" S~r9i~es or Feeders
Constr Contr. Number 92506 nnQO VOlt mayobtainlnfl~al~l.ltli'ObllefAiJ!teration or Relocation
'. . . calling the center. (Note: the t~!ephOne
ExpHat10n Date 7/16/99 -,'-"'--'MtheOreg.2P.~t!!i!lP~JQ9.l;ca~
..-..- -C t i 1_8(~Q132j1lPlM~o 400 amps
Sipature of Supervising j:lectrician en er s 0;'Ejr;fu1 fa 600 amps
~ p, _....... . .......---- Over 600 amps or 1000YOIts
Permits are non-transferable and expira
if work is not started "ithin 180 days
of issuance or if "ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elcetri""l Contraetor Able Electric
Address 5511 MAIN
L/4/1tt /P'()J/
/1}4,,v
Owner s Name \lOA AI
Address ,1]11
City ~ (J c/
'OIlNER INSTALLATION
72,("()/o?
Phone
The installation is being made on E.
property I own which is not intended.
for "ale, lease or r"nt. 'i5
/' J??(C/J 3/1'J/'1
Owers Signature: (... 179 elf)
~~~~Ml ~ CJ ~-~-:--~;--:---~----
RECEIVED BY: . AY 1to./(7l.o./
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Kome. or
Modular 'Owelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or RcloeQ.tionl
D.
Branch Circuits
New, Alteration or Extension Per Panel
/
$ 35.00 .i'r-O<7
One Cireuit
Each Additional
Circuit or with Service
or Feeder ~ermi t '/
Items
Cost
Sum
$ 1l:l.OO
$ 15.00
$ 40.00
$ 50.00
$60.00
$100,00
$130.00
$300.00
$ 1.0.00
S 40.00
$ 55.00
S 80.00
see uB"
above
.'
S 2.00 fY.JiCl
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigatioo
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
S 40.00
$ 20.00
$ 36.00
$0' 9.':> 0
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