HomeMy WebLinkAboutPermit Electrical 1999-7-13
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225 FIFTH STREET Tho tOllowing project as subm," . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~~7and does not require sed has the tOllowing C.
INSPECTION REQUEST: Pf2'lr~~769 I D. {J, peclt.c 'and use Ci ty Job Number 1'1 0 v: Ur:JJ
OFFICE: 726-3759 Zoning ! IV B~'
Datp -1//77 14 J. "eM'" RTE FEE SCHEDULE BELO\l '-J
1. LOCATION OF INSTALLATION '.1./
Jz.~'1~ t~ AutnollfJll.l3igneture ~ A. Nelol Residential-Single or
- v lI~}::4-Family per dlolelling uni t.
LEGAL DESCRIPTION Service Included:
'I o~ 3c::: Lll ()(;,I(J7) AJTEr"'\-iON' Items Cost
L..... .' " I ' :Oregon law "".Juires YOU10
JOB DESCRI.PTION 100~ foll~lIf f~le8ldpg!~ by the Ore~085J.t!
~:'''' ~\ ~ P "'" G rc...u....\ ~ Each O~~~af~G'~h:<f.Pl'SOcl h(,~" . u;"s are set orth
sq ~n 'lb~5'P-b'l:'t iQi'n1 0 through OAR 952-001-
penR1lCi~ non-transfer,}.9l.e,~l\ll.r~jCpire thBfl fYoU may obtain copies of ts,el!'JJ!lUlPY
if WElPBlSMIi'OSH~\-'I.~tWdRijilt}l,lplj:VY~~ays Each ~Rl\1fl''h'eRod1WolNul'': II Ie telephone
of ~eA'lta:eUNrfERCfflISp.cRfUlJpeM}ll for ModtPllffibW@li1"'m'gregon Utility Notification
18vcBWe:NCEDOR IS ABANDONED FOR Service ol?ePeedet-800-332-234$).40. 00
2, A",,,,,~REms\i)ALLATION ONLY .B. Services or Feeders
../. (' r.f r \ Installation, Alterations
Electrical Contractor I\lclklr~~ or Relocation:
l .
Address ~ d<J:xJ(c-R... IC.k::. .
Cityf.L~->'-LJl Phone ~ 17~\
Supervisor License Number "<fO\ S
Expiration Date }O/o I
Constr Contr. Number /OSC/ (7
Expiration Date I~;l~
Sign~e~;~~Electrician
~~
Ololners Name ~(L~~J! ~ \?{l, 9orl(.
Address I z.c.,"J' (Vt-Q1t\
City~[lV\.-'t,~\~ Phone
O\INER INSTALLATION
The installation is being made on
property I ololn IoIhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~~!-~::~-9------~15\------
RECEIVED BY: n . mil 6h1Lri 0
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
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less I $ 40.00 q.JJ. JU
201 amps to 400. amps $ 55.00
. Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
c.
D.
Branch Circuits
"
Nelol, 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 Addi tional
Circuit or IoIith Servic~
or Feeder Permit C/
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
/J., aV
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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