HomeMy WebLinkAboutPermit Electrical 1998-10-8
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NOTICE: b~_fLK__ ~
THIS PERM AuIhoriz8clS/gnalw. h",,, ELECTRICAL PERMIT APPLICATION
97477 ITSHALLEXPIRE ~V\ cAr? tA/ ---
7~6'rB{Z:ff9.ZED UNDER T IFTHE WOSlf:ty Job NumLer /0'0 IV 5
COMM HIS PERMIT IS N(l
ENCED OR IS ABANob BOHPLETI FEE SCHEDULE BELOY
1. LOCATION OF INSTAJ!'rt\tioNr\^\, PFRln/) NE FOR
1101 SlF>.\p R:J::e. c _.t A. Nev Residential-Single or
, Multi-Family per dvelling unit.
Service Included:
ATTENTI Items Cost
fOl/o'1{ U ON:Oregon{; ,
NOliiildo ~ .SilbPte\:f~y'!rt;{f3qUlre" ~'''U t~ 85.00
mOl{i!I ~~b~l'il 'tioregonUtilit
0090 . 2fQO'bQOIlBfH 1J.f6fi.1/es are self y
c~' ~(jt obtain rOugh O~ as/hI 5 . 00
W~hll~Il~_d~~lfc9nlteaw th '001.
nUm d~e cY~efftq,tl1gthe tele~~U/es by
s~s9~9fl&M1jjltYNot'f' one. $ 40.00
00-332-23 ' ,caUon
Services or Feeders44).
Installation, Alterations
or Relocation:
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
LEGAL QF;SCRIPTION 1)(// 11
} 1tJ 37-5 '1'-1 0 01/
I"~ rOB DESCRIPTION
~ \ 1:::::""- """"l C \...IS-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONL~ \. 1. JB.
~<...l.l.'[\ \-<..., 'V\VI\ ~'P>(.,...,-'\" Y10\c~\'I;)
Electrical Contrac[or
Address r.O' ~ ;::J&?II]
Ci ty~ ')'?\"~ Phone <;"C/..l. - (,en L)
'30,:::1 JI-.,~
Supervisor License Number ;:;!'J - L-\ I, G\ ~
Expiration Date \ ;)-<.)4>-- '=1'1
Constr Contr, Number\;:h<::::'~/'"
Expiration Date \a-\,--r1
Signature of Supervising Electrician
~ ~ 'v--> ,/!/
Ovners Namel_\-\\"""I'\ {""G+"'.1 \\o'VY'-V
Address ~S ')J:::>d ~V--.J
Ci tYf,\'>"L...-t<rJG Phone'1,l1':=:,""' CfYl")
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Owners Signature:
----------------~-~--------------------
DATE: IUJ~/91
RECEIPT #: I '(nl {, f;r I '
RECEIVED BY: - ,.j/ WA./
Sum
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Pan~l
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res '1 $ 20.00 .E!:L
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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