HomeMy WebLinkAboutPermit Electrical 1999-4-21
Yhe tOllOWing project as '
;(mlO~ and does not reSqU~mltted ha,s the fOllowing
a~j..lroval Ulre specifIc land use
225 FIFTH STREET 20ning, Q. c..-
SPRINGFIELD, OREGON 9'f1Fi7':;'" '!-oJ/-9.,
INSPECTION REQUEST: ,;"t,fJ!r.JJ?;9 ~ \
OFPICE: 726-3759 Ignalure _ ~
3.
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1.
LOCATION OF INSTALL~TION
Lj~,~ c... rY\GLA1\. _ ~
/ 7r.;~~ ~E~PTION
017'00
JOB DESCRIPTION I
('I h~,~ _:l."'I ' -~. c.,. .
Permits are non-transferable and expire
if \lark is not started ,-i thin 180 days
of issuance or if \lork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
.
. Electrical Contracto{)e (::;t".<-Tr,.
'~ddress 'pt') ~ ())( ~..6=l'"
. City F","'_ ;,q~hone<~Ll~~rt..S(r
Supervisor License Number r3~ _ "\
Expiration Date' to - ( - 0':::'
Conser Cona, Number 2,xoo r
Expira tion Da te q - /If - 00
signatufe of Supervising Electrician
(~(T)fOk/
D.
O\lners Nam~rnDJr'f"" \ ~ ~ ' ''''''' tn..a-.er
\+o~'~
Address ~oo \./noll",,\ (~AA~~t:-
Ci ty ~~ CHJrI Phone \d;((" -~)<n
OIINER I~TALLATION -
The installa:ion is being made on
property I o~n \lhich is not intended
for sale. lease or rent.
--City Job Number
ELECTRICAL PERMIT APPLICATION
,~-.:__:',~ ;." f90C;17'
::;P::;:d:;:i::::~~:3:~OV *
MUltl-tam:~y per avell:~b unit. '
Service Included:
":ems Cost Su~
A.
S 85.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"OT less
201 amps to ~OO amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circui ts
$ 40.00
S 55.00
$ 80.00
vo~:s see "BII above
Ne~, Alteration or Exter.sion Per Panel
.'
One Ci~cuit )
::ach Adcii tioi,al
Circuit or ~ith Service
or Feecier Pe=mit
$ 35.00 ,~",60
S 2.00
E. Miscellaneous (Service/feeder not includec;
-Each installation
Pump or irri.ation S 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
1000 sq.f:. or less
Each addi:ional 500
sq. ft or portion
thereo,fu.g e~n law requires you $0 15.00
AlMl\IT1\<a>nu, 1 ~ ~WOregon Utility
foIlQfO~\l~qp~ ~gge rules are set forth
NotifiSIl1i"p&ell\fl~~ rllltroUgh Q8Bj!52aJ01.0 . 00
In OAR 952-001-0 , 0 ies of the fules by
.B oo~~~ma~\:lb~~JnW' th\'l telephone
r OaitiD~bJ~~~:~A~hijflthy~ification
~/Ic.z.. nBmllladblf!l!~MI. 9 322344)
. "Center is 1-800-3 - . ;
200 amps or less $ 50.00'
201 amps to 400 amps S 60.00
401 amps to 600 amps. $100.00
601 amps to' 1000 amps . $130.00
Over 1000 amps/volts $300.00
Reconnec t Only $ 40.00
. ners Signature:
-------,~-i--------------------
DATE: <lhl/'f(
- .0\,
RECEIPT 'f: I U 3 ~l, 3 q A
RECEIVED BY: /J-Y i.J q."J/
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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