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HomeMy WebLinkAboutPermit Electrical 1998-10-5 .. . . " ~~I~~c:::~~~"~~;~,~~o::.,,",.1Ii: ~ .pprov.i. Zonina (l ( ) 225 FIFTH STREET Dato~i: SPRINGFIELD, OREGON 97477 . A INSPECrION REQUEST: 726~lflll1"" Slgnal.....-LLW\. OFFICE: 726-3759 1. LOCA~I N OF IN~~~OU to S~E.9"lT. : r~nt,,''''..ownon Utility follow ru as ao'\J'fl'~~uleS are set tonn Notif~ ~h\nr'6~9h OAR 952-001- ~Q5l?r\l.9J-001, ._,~~ ,,11M rules by 0090. You may QU'''''' u;t~:'thetelephOne c6g~~''i:i.~n Utility NotificatIon n,~orrW.c..Q~ef.l,o~~:;-g.: MA') ce~i~~'" --,. Permits are non-transferable and expire if york is not started vithin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor ADT s~.~ Address 1501 Pe..~l ". Ci ty EU<len" Phone ,41-1 ,I , Supervisor License Number .ID..TU' Expiration Date ll/OllQ'l Constr Contr. Number 59944 Expiration Date Signature of Supervising Electrician J/;I-- ~ ~- ovne;s Name ~ (\czJ ~.D:rl.Jv Address \/1 l f1 Y1 "./ ..s-rQ.u..+--" Cit.f..b~~1 p cffhone9~-IIs5' 01lNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ,,- ----------------------~-------------- DATE(:CJ' I \qOi ^ 'H,rt'TP'l' ~: 03/4./1 '^ .-rJi . . A. ELECTRICAL PERMIT APPLICATION, .:. !Hob Number ~?i)?-o-I COMPLETE FEE SCHEDULE BELOII ~ Nev R~~'~~l-Single or Mul t~-,fa!ll.~~~RP\~f.s~'1\tt~Rl!~rP1E WORK SerVlceH!I:-hc'J:ulleo: AUTHORIZED UNDEI! leih'S PER~os~ NOT Sum 1000 s4'~1~E~pEPe2~ IS ABANDO~ERt.00'6 Each add!i/t'i!'cin'a~ v 5'OOlh-'u sq. ft or portion thereof $ 15.00 Each Manuf'd Home, or Modular'Dvelling Service or Feeder $ 40.00 3. ,B. Services 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 Onl.y $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600' amps . . Over 600 amps or 1000 volts D. Branch Circui ts $ 40.00 $ 55.00 $ 80.00 see "B" above " Nev, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or vith Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 -L. $ 36.00 $(,."r3V ::Slo" C5D I.' '1!~. '< X '06