HomeMy WebLinkAboutPermit Electrical 1999-9-8 (2)
NOTICE:
THIS PERMITSHALLEXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
r,OMMENCED OR IS ABANDONED FOFELECTRICAL PERMIT APPLICATION
974TT at::; (7 U
72~1PPDAYPERIOD. Ci ty Job Number -, I/O 0 7
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. / LOCfiTIOlj, OF INSTALLAT~N f)
I /} ~/J (::r!l-Tl3:WIW /....M
/ I
LEGM Dj:SCRIPTION A
I7ru'2-'t- 2- 0 VI '23ot;
~JOB DESCRIPTION ~nA
^EfJ1tJ/Jti'L ()FFltlC e.2-~rrt6"
. 'Ifi. ~ /lDPermi ts are non-transferabl~ and expire
~~~~~\ if york is not started vi thin 180 days
)tV\ of issuance or if york is suspended for
180 days. .
,
, I
I;;'/////)O
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Signature of Supervising Electrician
G/'~-./' ~~-
Ovner~ ~e!i! G. C, A- .
Address /1-tJO &X r!c...u riVe:. Pk.W'-1
Ci tyttlfiel//G" Q7t/o/ Phone "36, gO~S"
Expiration Date
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
. Each addi tional 500
sq. ft or portion
. thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder . $ 40.00
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U
D.
Branch Ci rcui ts
2. CONTRACTOR INSTALLATION ONLY .B_ Services or Feeders
,;?.R 11 Installation, Alterations
Electrical Contractor L.I~. 1.J!<.4-o/?/ff11E;c..or Relocation:
Address G3I tt), "0" sf. 200 amps or less
CitySP/flIi/6F;E!/J Phone~7Lf7-66~ ~g~ :~~~ ~~ ~gg :~~~
, '17477 /11. C 601 amps to 1000 amps
Supervisor License Number ~7~cJ Over 1000 amps/volts
I~ 11/0/ Reconnect Only
Expiration Date /1/1
4 C. Temporary Services or Feeders
Constr Contr. Number ()t01 ( Installation, Alteration or Relocation
I
5O,a::>
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts
$ 40.00
$ 55.00
$ 80.00
see "BII above.
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith service;'r
or Feeder Permit .J $
5. SUBTOTAL OF ABOVE
7~ State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
2.00
3:?,-
OYNER INSTALLATION , .
AI Il:N IIUI'l:llreg01' ,aw reqUires you IL
The ins talla ~lil~'flWf!lIEt;'~t~9@.ytBIiOregon Util~~ Miscellaneous (Servicel feeder
property I ~if~lieflqfj;'1tnb~t'fn~f'e'Nd~'aAaAre9s5~~u~~I~ -Each installation
for sale, 1&~1il!;l511t9Ct1:001~thro~gh U Pump or irriga tion
0090. You may obtam copies of the rules by Sign/Ou tline Ligh ting
Owners Signattnallingthecenter.(Note:.t~etele~ho~e Limi ted Energy/Res
numberforthe Oregon Utility Notification Limi ted Energy/Comm
Center is 1-800-332-2344).
DATE~-~-~!i;rr~-----------------------
RECEIPT ~~ tJ :.L,S'I Y 2 _ , /I
RECEIVED BY: ae P1J~
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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