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
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