HomeMy WebLinkAboutPermit Electrical 1999-11-12
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225 FIFTH STREET ~;j\-,\0VC\! ' L-O (\
SPRINGFIELD, OREGON 974 7720ning - \ \ ~ \ d. _q Cf
INSPECTION REQUEST:. 726-3769 '-Cf'
OFFICE: 726'_3759UR1t;. 't e
. ;-."w,...! !t."'O Signa ur. . 3 . COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATI,O~
<;{,3"< (( )...11-.' A.
LEGAL DESCRIPTION
/ 11;> '3 ? ~~ " J
JOB DESCRIPTIQ.N
C-IIAI I J tJvt:h-~
Permits arenon-transferable~~d expire
if york is not started yithin 180 days
of issuance or if work is suspended for
180 days.
() '-I fOG
2. CONTRACTOR INSI.ALLATION ONLY B.
NOTicE: /
Elec t r i cal_c;()'l1:tfSiPltR~~)(PI~1= 11=11-IEWORK
Add res s AUTHORIZED)JNDER THIS PERMIT ISNor
COMMENG OR IS ABANUUNt:U I-UI1
City Atp~F<<0D.
Supervisor
Expiration
Ci.ty Job Number
ELECTRICAL PERMIT APPLICATION
1q I fl cO fr
New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
Constr
Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
l\TTENTI~~qlii\W&~, i RF:. less,. '
follow rule~%dffl1J?d b~~h~@.Re~!l)PS~- .' "
'f' t' v.v. e.r; ~ 0-110t-o..6 0.0. amp s.>. !: ",
Notllcalon'JE:hner. j. ,~'::'ru>,",v"".'.'"'' . '
. OAR 9520:vu.elrOl~OI.Qt~amR,s"'l Ol~\fl 000.( vol t s
In -1) - v v !IIU"'~" ,_.."\ , .'.-'- /.
V-090. You mav obtain.copip:~, 01 th~ fillet L".,
D. Branco CJ,trCul.ts telep"o'H'
calling tlie cemer. \ !..OliS, d It; , ..' I · .'"
Ilumber fm the Oreaon Utilitv NotlflEcatlc' .
i'H~V ,. -p,;,[rr\!ra,t,lon. .ox x tens 10n
Center!!" ~_;.t' .,,' . .' ""_I,
Date
Si
Supervising Electrician
"
../Z.pyJ
Oyners Name fflIN(
Address gJJ
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Ci ty ..3PFc.. 'D Phone 'q;7t!9 7..5"/71 f
1
O\lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Sign~t, u e:/
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~~~~:-:~ ~lFf7~~~,. ~;S-----
RECEIVED BY: '1\. ' .
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
" $ 40.00
S 55.00
S 80.00
see "B"
above
Per Panel
$ 35.00
S. 2,00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
S 20.00
$ 36.00
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