HomeMy WebLinkAboutPermit Electrical 1998-12-29
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225 FIFTH STREET.",oP. \ ~L. . \.J. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD,. OREGON 97477 ". \ ... '.~ '.' 'jJ a<:lI' r7,k-
INSPECTION REQUEST: 726Atafi'~ltf;ldSlQnalwe Lt\ Ci ty Job Number (If'.l J
OFFICE: 726-3759 ' '."<,,,--.. ~
3. COMPLETE FEE SCHEDULE BELO~
A. New Residential-Single or
Multi~Family per dwelling unit.
LEGAL DESCRIPTJNe>TICE.: ' 'Service Included:
/ 7 () '3 2 C./ '3 TiiI3l!i&r~(T~iiALLEXPtRE IFTHE WORK, I terns Cos t
JOS F~RIPTIO~~:~O~~I:~_D l~~D:R,~~IS PE~MIT It~~~ ~dd~~io~~ll~~~ / $ 85.00
vVIVIIVh:I~vf..::Er vnl" f\cf\II/DONED FORsq. f t or portion
Permi ts are non-tr<AWtlf~~\?)A€f raLnRloopire thereof
if work is not started within 180 days Each Manuf'd Home, or
of issuance 01." if work is suspended for A~tR5NRYrelliI}g. '
180 days. ' fo,,~wrrY,tEfsea~r ~~~d~~ reqUIres you to 40.00
, Notificatio op e y the Oregon Utility
2. CONTRACTOR INSTALLATION ONL,Y., Bin~. ~5,8,n~~~r.p~, $lIes are set forth
, /":.",, - / .L Go9&:~ aj:l'i~i<6~1,~~~~t>Mib952.001-'
Electrical Contractor Yofol1e,/' ~/'~Ti<t''-'coli: M~~e~p~ffii/;lcoPlesoftherUlesby
, ,a 109 t e center. (Note: the te'lephone
Address ,P. 0., OJ)( J S 5 : nu.mteJerJ61p!t1.~9r8gon;UtilitY Notifi~atio~ 50.00
, / . " ...' 201 <afil\lwr 1S:>1.{jlOO-~~2311A\ _ $' 60.00
Ci ty Cr -.5 w~ /1 Phone 9tt-2-2 If B 401 amps to 600 amps ~ $100.00
601 amps t~ 1000 amps $130.00
Supervisor License Number ~tfl-~ Over 1000 amps/volts $300.00
~ J Reconnect Only $ 40.00
Expiration Date /0// J '7 Cj
1.
LOCATION OF INSTAL~TJON
1f/~'~ y-
Constr Contr. Number 2 ti-,3 C
Expiration Date
.,L., ('-:' / b~ 0/..7 ~/ f'7
" r / . 17 '
Signature of Supervising Electrician
pz atJ~
Owners Name C4::1t. Lot /(O,NDtA
Address 7 '1: 7 .f M JJ.?JfA tJiJO j
)
City bJ;/I.j'tJNIJ Phone '5'f2~ Y<il,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------jli.i17~-------------------
RECEIPT #: 0 ~;;'5 1 '~ II
RECEIVED BY: dI WtW/
Sum
~s/
J
'15--
$ 15.00
C. Temporary Services or Feeders
Installation, ,Alteration or Reloc~tion
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
vol ts see "B" above'
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with 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 $ 20.00
Limited Energy/Comm $ 36.00
5. / 7.1') ~
SUBTOTAL OF ABOVE >v
5% State Surcharge G.~
3% Administrative Fee i.qD
TOTAL /~(). &(0