HomeMy WebLinkAboutPermit Electrical 1998-8-3
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The following project 118 " .. " .
zoning, 8Ild dose net ~"'Io,d hBe Iho " .
approvel. llplIaIIa land llllO I
225 FIFTH STREET Co ZonJ"" llh ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Dat. (i/3';;'& - ;:; a/
INSPECTION REQUEST~ 726-3769 ~~ City Job Number -,f!o -f.." 'f
OF PI CE : 72 6 - 3:' 5 9 AuIho.to..d 8IllrllIIure ~
.- t.\JlIt u;org rue' "CHEDULE BELO\l
1. LOCATION OF INSTALLATION
579 fl /'ftJl//d VERNtJ.Jo/ :'5P1'IJ./,,;F/Ea; A.
LEGAL DESCRIPTION
New Residential-Single or
Multi-Family per dwelling
Seevice Included:
Items
uni t,
Cost
Sum
JOB DESCRIPTION 1000 sq.ft. or less $ 85.00
NEW ,EMERAE.I(CY I'iE/lffA?~tP /'lJ/lNEt'4?aN Each addi tiona1 500
5E'rt/A6E PIJ.MP/Nc, stAr/ON '~'OT;j.ij~. ft or portion
Permits are,non-transferab1e and expire I~ I~reof $ 15,00
if work is not started within 180 days THIS~'~\l"i;'.d,..)j,Q/ll,~ or
of issuance or if work is suspended for 'irbl:\YIiLfln~litj:rfilf IFTHE WORK
180 days. AUTHQRlZElildJNljfRl1ti1SflERMII1S.AIOT $ 40.00
2. CONTRACTOR INSTALLATION ONLY ~~M~~~9fPeqRJ~ i\tl~ED FOR
ANY 1fWStra'!1.Pli'Rl0i'l., Alterations
Electrical ContractorC/TY 0;:: EI.lt'iEN'E or Relocation:
Address ~/ / t? R / I/P'R
AVE
Ci ty ,t;lI6FJ"F Phone~.s?9 - ~O
Supervisae Li cense Numbee r3;;::> S
Expiration Date /0(; /q/<
Conste Conte. Numbee
Expiration Date
Signature of Supervising Electrician
X ~~
Ownees 'Name C /TY ~,c .:::p&1f:!.!ir/F/17
Add cess
Ci ty '--r ,""""",Phone. '.
1'\1 I L.. .... IUI,,:Oregvll lel'l'Y 1t;;l4UIlt:::~ yuU to
O\INER I1P.JmnJIUMopted by the Oregon Utility
Notification Center. Those rules are set forth
The ins tal!Th~%h9~:t-OI1Hllg1~~gjnOAR 952-0Ort:
property IOeea. Y,Il\ll1l1ta~!lblftil1! cMtllfulll2l!l1e rules by
fOe sale, le!1Ill!i~llhe~l'Iter. (Note: the telephone
number for the Oregon Utility Notification
Ovners Signa ture :Center is 1-800-332-2344).
---------------TT,7--------------------
DATE:_ ~~7r_
RECEIPT if: il.:f"r/V/ (1
RECEIVED BY: W lAJ~jI
200 amps or less ~__
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/vo:ts
Reconnect Only
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
;-rJ .rJo
Temporaey Seevices or Feedees
Installation, Alteration or Relocation
\
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
avec 600 amps Oe 1000 volts
D.
Branch Ciccui ts
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
New, Alteration or Extension Per Panel
.'
One Ciecuit $ 35.00 )
Each Additional
Chcui t Oe with Service '2.1.P
or Feeder Peemit ( $ 2.00
Miscellaneous (Seevice/feeder
-Each installation
Pump Oe irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergyfComm
5.
SUBTOTAL OF ABOVE
5% State SUecharge
3% Administrative Fee
TOTAL
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
57...00
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