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HomeMy WebLinkAboutPermit Electrical 1998-11-3 225 FIFTH STREET NOT/A SPRINGFIELD, OREGON 97477 '"'~: INSPECTION REQUEST: 726-3769 THIS I'ERMIT S City Job Number n ~(~"3 OFFICE: 726-3759 AUTHORl" HALL EXfJlDr:...", CO "'eD UNbch COIll'WfJ1:Jr~ SCHEDULE BELOII 1. LOCATION OF INSTALLATION MMeNCE:D 0 " THIS PEPA'I'" ORK 1/<6 [)r;[fJuG€. c::c \ AN., Jpp HAt) AEJA'T,'lhJWj~tlaBW(J~-single or 'Jovl}';,'o~l"cRI(jD Mul't-_\llili per dwelling uni t. LEGAL DESCRIPTION :O~O~'l?~~,' Service InE'luded: .:;. ' , oo...,4g.."<). Items "1~ <'I). "or ~ n -101, "-./ / ~ ~~OO sq. ft. or less lLPg .o~<>'\ '<..... -... .,-!:D ~'additional. 500 ")" ~'9 r'2.. S!F~~ or portIon Permits are non-transferable and ~i~~r the~~~ ' if work is not started wi thin 180 da s ach Ma~UtQ. Home. or of issuance or if work is suspended fo odular, 'Dwe~ling 180 days. Service or Feeder ELECTRICAL PERMIT APPLICATION 2. CONTRACTOR INSTALLATION ONLY rvices or Feeders -+-f ~o _~ In llation, Alterations Electrical Contrac tor I flpr;,.v. f7'w ~. or Re cation: ATTENTION:Oregon law reqUires you, ~o l::lIto'" .._,I~~ Rrlnnl6c;l bv the Oregon Utility 200 amps or less N n~ tio~center Those rules are set lort1201 amp.s to 400 amps o} Ica 2_Wl~"';nlh"'1InhOAR 952-001401 amps to 600 amps '" v~5 obtain copies ofthe rules b60l amps to 1000 amps Supervi.sor Li~.~~~ tor \lIl~'o'lh"tAlephone Over 1000 amps/volts calling t e cen, UtTty Notifi' connec t Only Expira tion Da tenUmberforthe Oregon II '4 . -ae 332 23~u . L;enU;tlll:lo I-V C. Te porary Services or Feeders Constr Contr. Number stallation, Alteration or Relocation Expiration Date 200 amps' 'or less J $ 40.00 q--o 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above ~, JOB DES~PTION ~/Vl.<.,{-C ~,i;R..., Address City 'sing Electrician - _..~~ IS~ IV! U Address If 5'~ O-R! ~) t; City "111-(1"7 (:4/ Phone O\INER INSTALLATION Branch Circuits c..---- ~ Owners Name D. Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ," ,t)fL..- New, Alteration or Extension Per Panel $ 35.00 The installation is being made on E. Miscellaneous (Service/feeder not included) property I own which is not intended -Each installation :Eo!: sale, ,.:tease fJI: rery"t) I/'-I- Pump or irrigation I~ddf' l~ . ~1 Sign/Outline Lighting ers Signature:;,? ~imited Energy/Res rJ:')c.-u:--d /;::;;> Limi ted Energy/Comm ~_____________~_______ 5. SUBTOTAL OF ABOVE DATE: /1 ~ 3 ~ 5% State Surcharge RECEIPT II: ' "5 3% Administrative Fee RECEIVED BY: TOTAL One Circuit Each Additional Circuit or with Service or Feeder Permit $ 2.00 $ 40.00 $ 40.00 $ 20.00 $ 36.00 ~/tJ~ 4'-J,~