HomeMy WebLinkAboutPermit Signage 1998-7-30
The following pl'oject 98 au
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":\' 'iJ' ~'tJ -'ON:Oregon law requires you to
Dale J'Coopled by the Or~ClJiMf=AL PERMIT APPLICATION
91'MOOrlzed Signalure ~+,~"- :~~ C3C ; ;;I~ set forth () G (\q J1-l
726-3769 _nr1 ~52:001-0010 through OAR~2>OOl_NU1Dber "'\ ~\.,X)\
0090. You may obtain cgeies plJM r;vms b *
calling the centef. '(Ncltt9!1~IltGt~ph8rre S{';IlEDULE BELOII
1. LOCATION OF INSTALLATION numberfortheOrllgO~tili~N rill t' .
.~()2~ MAlA.) <:T r."'nlerisl'-'800- 101ol_ l:l~~ml-Slngle.or .
~t - mlly per dvelllng unlt.
\fj tSfd:..~c..~5Tro~8C:CJ Service Included: Items Cost'
fHIS PERMI'r SHAll ' ,
JOB DESCRIPTIO~" ' EXPIRE IF THE ~ sq. ft. or less
POLe: S(6!!!,!~~R/ZEQ UNDER THlSPERMIT Eacn addi tional. 500
lJOMMEN(;EDORI' ,IS~T. ft or portlon
Permi ts axe non-t Ww t.etfable and':) ~!?~i:roNED FOR thereof
if vork is not star1:'eal:1lv~)eIYif(F.ftlilm.days Each Manuf'd Home, or
of issuance or if vork is suspended for Modular, 'Dvelling'
180 days. Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor1J(J.afl-/n gras ~rts
Address 20'-/ (je-/fPr<:oi'l $T:. :
Ci ty F-I JrpL/1 (J Phone -2tf2 -1169
Supervisor License Number 5/4 ~ /6
I
Expiration Date / tJ-I-'1'7
Cons tr Con tIC. Number 'f.'{;,-1~ ( g
Expiration Date .3-9-19
'L~_~ suu~PAervis.'ng ~~ D
Owners Name~; ','7:""~ .
Address S"'cnt{ V/I)!}IIV 'Sr '
Ci ty ~RI1f16FlFU'J
Phone 1.J.fo .~171
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t.
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i':"CEI~ n30 9"3'-' ,
!(ECEIVEO II Y: !2....JlJf) (117a.O({,.L___c-__
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 Only
C.
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 100u
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see IIB'I above
New, 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.
SUDTOTAL OF ABOVE
5% State Surcharge
3% Admini"trative Fee
TOTM.
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00 .!:Ul
$ 20.00
$ 36.00
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