HomeMy WebLinkAboutPermit Electrical 2002-4-10
225 FIFTH STREET.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMI.LlCATION
City Job Number 02 -'-oO'f/3 -6 (
3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION
1342 Olympic
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
o%rOO Items
LEGAL DESCRIPTION
17~2S)Z
1000 sq. 1\.. or less
Each additional 500
so. .!\ilfs)lllllltoVPwing
. ct as submme d use
Permits are non-transferable and expir"rtle lollow1Og proia nol raquir#lei\teo~ic Ian
if work is not started within 180 days lonlng. and doas . _" SItch Manufd Home or
of issuance or if work is suspended for approval . L..Vl./M...."ul.... Bwt:lllng -
da Zon1Og- "'L~' '-
180 ys. l-\ - IO'v~,e <~..
nate - - ___
2. CONTRACTOR INSTALLATION ONLYr,zed Slgna\'8~ 3... ,€S'or Feeders
, ......,~
Installation, Alterations or
Relocation:
JOB DESCRIPTION
Reconnect service
Electrical Contractor JB ELECTRIC. INC.
Address 4685 Isabelle Street
200 amps or less
20 I amps to 400 amps
40 I amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
City Euaene. OR 97402 Phone 541.687.5770
Supervisor License Nwnber 38725
Expiration Date 10/1/04
Krili:rqp',?~: ~'<Y~c~ o<liieedatill<lS VCJu. to
follow rules adopted by the Oregon Utility h
Notification Center. Those rules are set fO~
. OAR 9~~!lIJIP.JO:$04S1rOugh OAR 952-00 -
~090. YoJllAl!'f'IlIDIOi4OOll\llifli of the rUl"~ uy
II' r.w~r~tllr""""""p' \t1e telep"u"<>
ca 109.,..,.,.""" ."'vv~u. . il'
numbe~nl6ll0)u0lJ!l)(il"lJ!OOO~~!!eauu, ,
~~!!Cis 1-800-332-2344).
Constr Contr. Nwnber 37587C
cca
104929
Expiration Date
10/1102
3/14/04
'~~~
1/ '--'
Owners Name Derek & Rachel Wilson
D. Branch Circuits
New, Alteration or Extension Per Panel
Address 1342 Olymoic St
City Sorinafield. OR 97477 Phone 747-6657
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
Owners Signature:
190:!:J3IHStl8
: 39NtlH8
O"'/.." $ 6:Q83~ lWtl
6006 01 ~dtl: 31tlO
.. I rso,IR Job #024249
'1u:J ~ "V~Tr\....'tvu....
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
TOTAL
Cost
Swn
$106.00 $
$19.00 $
$50.00 $
$63.00 $
$75.00 $
$125.00 $
$163.00 $
$375.00 $
$50.00 $ 50.00
$50.00 $
$69.00 $
$100.00 $
$
$43.00 $
$3.00 $
$50.00 $
$50.00 $
$25.00 $
$45.00 $
$45.00 $
$
$
50.00
3.50
4.00
$
57.50