HomeMy WebLinkAboutPermit Electrical 1999-7-13
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225 FIITH STREET Li'/l
SPRINGFIELD, OREGO~ 9747Zfnlng v\V/V
INSPECTION REQUEST',.te7-U; J7~o UI7 ,'111,
OFPICE: 726-3759 ,"""'U"'"O S'gnature _ (Ir{) 1
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1. LOCATION OF INSTALLATION
L~ #C~
~ ~'O~~\FTHEWORK
~B~uill:l~.~Is6'm~T;~~PT
I u 1DE~~li8liANDONEDFOR
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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
Electrical Contractor.r( w....-.,$..,......Fkk
Address."'Z2..-'3 ~e.b
Ci ty ~. Phone r~s~ Il~~
Supervisor License Number 3!?03~
Expiration Date IOI() I
,
Constr Contr. Number k:>3~17
Expiration Date 1& /qo,
Signature of Supervising Electrician
~~-
Owners Nam~..",,~ o~.p",^ I::
J
Address'\2.Lo 1 Me>."
City~(.~Ll Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------r,-------------------------------
DATE:. (/1- 1<)- C1 <1 II ~ ~
RECEIPT #: - <) t \
RECEIVED BY: f1. IYV.t (1-. ~ '"' '---'
A.
ELECTRICAL PERMIT APPLICATION
City Job Number q q 0 ~ 0 5
COMPLETE FEE SCHEDULE BELOV I ~
ATTENTION:Oregon ,aw re4u,res YOu .0
NelolcRes'irderrt'ira'-]!l! sll~gJ!~e.\lregon Utlllly I
M"'......." " 0,,@6...0-.;:;'n"Cl...."PS"..Bf'tel!O
...,,,,,,.,n,,am,, ",y ....er. uYe:r rngo un 19 '2-001
SElA'6;.f'i ~ID'e:Jfu'dea10Ihrougn AH:) -
0090. You may obtain Co.:ri~eID'~ the fI~Ii~PY Sum
callina the center. (Nole: the tele.~hone
1009nftl\IJ&1ielr g:ld (Jles_Sln Utilily NOtSlqBl~0'O
Eacn addit~f!!!.q.5 {i(\lJ~0-332-2;j44).
sq. ft or portion..
thereof $ 15.00
Each Manuf'd Home- or
Modular Dwelling
Service or Feeder
,
40, (JD
. $ 40.00
.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 Only
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D,
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Ehergy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~(). ()1J
5% State Surcharge -1 . t\l>
3% Administrative Fee I'_~
TOTAL L\..V' 4..::>