HomeMy WebLinkAboutPermit Electrical 2002-9-17
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'225 FIFrH ;>TREET
SPRINGFIELD. OREGON 97477,
INSPECTION REQUEST: 726:3(69
OFFICE: 726-3759,
ELE.CAL PERIvflT AP~N
City Joh Numhel'_(J? -~? ,? ~.::-e;r
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\ COMPLETE FEE SCHEDULE BELOW
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I. LOCATION OF INSTALLATION
(,,(;1'0 i'v'-o~'s ?~S.,
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" <. -' - ~ A. New Re~identi;II-Siugle 01'
Multi-Family pel' dwelling unit.
LEGAL DESCRIPTION dhaslne\OI\~il\l\ee Included:
bfl'\\t\G I' d use
~:.......t as SU . aci1ie \311
,he 'O\\OWlllYdt'. ~5- not reQUire sp
and 0 /7 . ~
JOB DESCRIPTION zoning'al, I VI - ~~~ sq.ft. or less
Ne.-.J (.o~~.w~~_o ~"ell..~:ionaI500
Permits arc non-transferablt>~ttd ' . e _ ~ ~,;~r~:; nartlOn
if work is not 'started within A~/I,~ Signature Each Manufd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2, CONTRACTOR INST ALLA TION ONLY B. Services 01' Feedel's
. ., I CI\l . j\..It\i.......1 tl~UI "Gl"'~ 1-J.4-~'ll"t. ... JLAllt' t'
(""J ~o 'I n".1 .1 IOn, "'. el'a IOns 01'
Electrical' COIltraclorc.JCOO,oo: .~ s adopted by thRgol1~\Jtl"ty
'. r,'. I qenter. Those rules are setforth
Address C/t7 R.Jitel6e 2l'i1~?~-o01"0010thro~Q!It~~&OO1.
_ .0 .v!l'... \.VV ",ay Obtain COPI2'@lo,ltH/15f61lmgelf\ps
City Euoe 11-{; Phone&t'~IUng;tJ.l~nter. (Note.J~Qllle amps
. - V \ : "" "if";;r1;); :ne Oregon UliJiJy _iOOlmlO amps
Supervisor Licen~eNnmber L q tJl} S Gflntp,r'" 1.R'1n'~~e'h%14I~:OO amps/volts
11 Reconnect Only
Expiration Dale .J (}-tJ /-J!. 00 J.j. .
,iConstr Contr. Nu~ber c! 6 6.f.. J.j'
C. TeUlpol'ary Services or Feeders
Installation, Alteration 01' Relocation
"Expiration Date 6'--"10-ofOrJ 3 200 amps or less
.' .- .. .NOTICE: -. __ 201 amps to 400 amps
Slg'f2""~"" ~m::.~'If<MIT SHALL EXPIRE Igr~l:ili~".:';:::" wO<, =
,/}Zj UT~ORIZED UNDER THIS PERMhlid&NOT ".
^ Mn1cm..oR IS ABANDONEO FOR
ANY 180 DAY PERIOD. D. Bl'aneh Circuits .
Owuers Name New Alteration or ExtenSIOn Per Panel
Address
One Circuit
Items Cost
Sum
L-- $106.00 leX;'
3...- $ 19.00 5'"7
$ 50.00
$ 63.00
$ 75.00
$125.00
$163.nO
$375.00
$ 50. no
$50.00
$69.00
$100.00
$43.no
Citv
Phone
Each Additional Circnit or with Service
or Feeder Permit $ 3.00
OWNER INSTALLATION
The installation is being made on
property I O\\'Il which is not intended
for sale1 lease or rent.
E. Miscellaneous (Sel'vice/feeder not included)
-Each inst~llation
Pump 'or irrigation
Sign/Outline Lighting
Limited Ener!,')'/Res
Limited Energy/Comm
Owners Signature:
$50.00
$5(1.00
$25.00
$45.00
i'\'linimum Electric Permit Inspection. Fcc is S45.00 + Surcharges
1L8':["$ Z'(l~c.::! l,w\:}
'onz I"'''' , 'H'
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r1;>9010C..',C,: SMjiJ.I.
4. SUBTOTAL OF ABOVE
7% State Surchal'ge
8% Administrative Fcc
TOTAL
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