HomeMy WebLinkAboutPermit Electrical 1998-10-14
.
, The folloWI
zoning, en:? proJect as IlUbm
apprOv." doss not raqulre altted has !he___
P8clrlc land uSe-~"V
Zoning
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, .I / D. Branch Circui ts
Owners Name~~r/'?03-..L!c/Tt? ~a.?'C-: .
bf~ . / New, Alteratlon
Address 3' C?!':/C? rVff~
City "i"P FLl Pho~9 ?~~ 0&98'
Date
225 FrITH STREET
SPRINGFIELD, OREGON 974ili1orjz . I L ,
INSPECTION REQUEST :726_37~Sl9natura-(,A,;:l
OFFICE: 726-3759 ' -
1.
3.
LOCATION OF INSTALLATION C_dMfl i j
. -::?DOD mtJirJ Sf ....D. 'erO - A.
. ,
~ DE~CRIPTIO~
I /()dJ.2.. I no - ()() 70 I
JOB DESCRIPT~ /:. \
711 (lOrr1~f ~dr;/J~ rjlXAJ Vo~.J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
atcSfJN
Electrical Contractor---E1 r:::1'-'-eu'~~, JII(!.,
, ~
Address ..-pD- r5D)(" 27
Cit~iln eay Ph~ne..3,g5?-~
Supavisor License Number ~q2..7S
IO/,/~OI
Constr Contr. Number q'f=>qO~
IllP/99
Expiration Date
Expiration Date
Signature of Supervising Electrician
~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~Signature:
-.
DAT~~---~71-~-;'7f~--~-- -------
RECEIPT: . ~ -1<-1 L..-
RECEIVED BY: ~ 'rh~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 1 f/ :11' r
COHP!.f;lr;-FEE SCHEDULE BELOV *
New Residenti.al-Sin~e 8rre~~Quto . '.
Mu~t-~fl'li1i1I~tyofOOO~~u!el:~?,fgcm'~RlitY
SE(91!~i:ElUIbs~ Y e set !,orth
Notification Center, Those ~~:;>~ 952-'o~ ~ Sum
, OAR 952-001-0010 through 0 ,
1'88&0 SibJmayOJbt~pies of the r~I'S'5';'oo
Eac~a~f\~\Mll!mtlr~OOlte: m",,,,e,~f'io~e. '
s~kunftJe.,q5r ~~n Utility Notification
tliereoIcenter is 1_800.332-2344). $ 15.00
Each Manut'd Home, or
Modular, 'Dwelling'
Service or Feeder $ 40.00
Servls,e;no,r;,:,Feeders .
Ins tal'l'Jt i'&fi, Al tera.tio~~ IF THE WORK
or Re:lb~a>Hoil1 SHALL tJ',l"1
AI ITHORIZ>:D UNDER THIS PERMIT IS NOT
200 amps' or less 9 E$. ~OO
201 ajjIps1Wto!(400('~~sllBAtlD N $' '66':00
401 al\lp.~1 !f1-"!iPO,,aA1ps) $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
volts
,"
or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or. Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm I $ 36.00 ~
5_ SUBTOTAL OF ABOVE 3h,rD
5% State Surcharge I,BO
3% Administrative Fee I_OB
TOTAL ~R~8t:>