HomeMy WebLinkAboutPermit Electrical 1999-8-30
Date
Authorized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
. INSPECTION REQUEST: 726-3769
~FFICE:726-3759
rtr\E. \NORK
1. ~i~ .J;fi~;r&l(~t\ii t.I01
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Permits ~re non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac torJ~ S t:;/ec..-7fI J'C::.-
Address (j. 6 . A d"Jt d.. Vtf3 3
Ci ty f?-Aj(''1'~
J
Supervisor License Number
Phone /oc,f tf // ~/Y
S c;y 7 S
Expiration Date /6'-0/-01
Constr Contr. Number 76 !is- 7'
Expiration Date Id.- -]6 -Db
;
Signature of Supervising Electrician
1\-<-~.J.AA-- ...
Owners Name4))b:,~~.-')W~~ S ~
Address__~1 ?s:..7, X .5~ ~ _"
. I. .
. .. . """, " ,
Ci ty -503-46:, Phone ,~o/~r::,3i~~'
OYNER INSTALLATION
The instailation is being made on
property I own which is not intended
for sale, lease or rent:
Owners Signature:
-------x-------------------------------
DATE: t.)~ 3(j-7~ .
RECEIPT #: i\S'5...5 7'7 ~
RECEIVED BY: /7 . mfLj~j, tI t/{,.-U
.... ELECTRICAL PERMIT APPLICATION
City Job NUmber q or / I i .5
3 . r4\4J~EOp.J;;@rt~J!~lili'~ill;E,cBELO\l
Yonow rules adopted.. hI .,;. . ". "J!""
l\Lr..tifi t' . .' '1IIt\
A. . .N'ewC~e'.SrHl~@fi1tei'al;..,Single. or.": ~' . f. o',
in'. f"I~ r.:> Q" <C;;,-, "J: t: ::;e. ort'"
M,t1~itli-'1-ram!liy,ipend.well_ing rum t. u.
OlS~{tv\i'ce nlnc.i~d ed.:" "'.Jl:;j! t vr;. 1 .:-ib~-001.
'.' ...,' . .. ,v.." "Oples Of the rUles.h"
C.ctlllfi8 me center. (Note: thI tE~ms ~s t SUin
number tor [he 0' .. e relephone . '"
1 000 S.Jk~~r:is 4~gk2J.Ltil~!r_ ~~tif;caU0!85 . 00
Each addItIonal 5e02~vqq).
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home" or
Modular Dwelling
Service or Feeder .$ 40.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
D.
Branch Circuits
above
New, Alteration or E~tension Per Panel
\
"
One Circuit f $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit -I- $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
1.% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3/,00
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