HomeMy WebLinkAboutPermit Electrical 1999-8-23
~b Q5i3'f
, ., ..
", -IIOr Center. Those ~ules are sel't~~'l
~~ ,',' ~... ~o2'00"001~ through OAR 952'00".
." YOI, may obtain copies of the rut
. ;ojlllng me center. (Note: the teleorlo es by
225 F~';:;~~iT.oregon Utility NDtihcat:n
SPRINGFIELD', 'oREdo~O~-rEi2344).
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
3'd...,9 Dht".C\'O'1+ ' A.
LEGAL DESCRIPTION
i 1 ()2, '7-// I ~0lJ ~
JOB DESCRIPTION gepl~0e(U;<>C
.5:./0" .L :.a.9-' C' ~ r ,..;) -+"'1 lQ ~ ( OrvcJ,
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
,
Electrical contractor~ !:(QC,Jrie-
Address ~?Jl:J..JJ ,J). tIJIl()Jf~ .
City UaJXIf Phone~qS- 2440
Supervi.~or License Number ,'5JJIL/. S
Expiration Date /011/00
Constr Contr. Number Go(~~Cf(j
Expiration Date
,/I'8JqQ
Sig,ni11:ure of. superv~ E~an
O~ne'I:;.I.._me~: r;~1 ~\,..:, '.1.e..f
Address ..2. a7C1 Dhpa~o",-f
Ci ty ".Sr'" Id Phone
OVNER INSTALLATION
ELECTRICAL PERMIT APPLICATION
City Job Number qq- IDR?"')
3.
COMPLETE FEE SCHEDULE BELOV
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
_______________________________________ 5.SYBTOTAL OF ABOVE
DATE: q, -~. C, "i _'_ . 7)"1. State Surcharge
RECEIPT #: - ':j;;L'~-'- '~~~\.-\'.4... 3% Administrative Fe'e
RECEIVED BY: =t<,,,, J TOTAL
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular'D~elling
Service or Feeder ,$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec f . Only
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
10
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
S 55.00
S 80.00
see "BII above
Ne~, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Additional
Circuit or ~ith Service
or Feeder Permit --J- S 2.00 ;).D6
The installati~~(}~ng made on E. Miscellaneous (Service/feeder not included)
property I o~nTWJAAcl.~rl'miA&'eXf'~IFTHEWORIC'Each in7 ta~la t~on
for sale, lease~~rFeR~. 'Pump or lrrlgatlon S 40.00
AUTHORIZEDUNDERTHISPERMITISNOTSign/Outline Lighting $ 40.00
Ovners Signa tUOOMMENCEDOR IS ABANDONED FOR Limited Energy/Res $ 20.00
ANY 180 DAY PERIOD. Limited Energy/Comm S 36,00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
@.oo
- d .<r,<j -
= . /.51,0
...J57 ,0.0. .