HomeMy WebLinkAboutPermit Electrical 1998-12-8
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The following project as eubmilIed IIaa the folio
zenin.. and does not requlre epeoIIla land UllO
or.,..:rowoal.
,B. Services or Feeders
Installation, Alterations
Electrical Con trac tor)LJi..J; (roc.. 'X{'d'><S,,-/I'~e or Relocation:
fOlIo I\tl~
Address (J.().60C ~'I73.:J .'VOtl",'c""rlJ~ ~'lWu>J"orless $50.00
('l "'O"'A <ltIO/) 11<<j!9gtl1o',g11-400 amps $ 60.00
City (, u..re""V2....- Phone bO'b -6;P.!J~ .,/5<_ O~~~bJ~ ~~mps $100.00
o C<llii OIJ/)) '10' ~~pe.J.({) ei~. $130.00
Supervisor License Number '){J -J.~fI~b/)gt"e <lO'~<I' GQ'6ihl~<I ~1l'J\oi':v $300.00
Ill. erforr C~91{fles.o'~~ re~et/'Y $ 40.00
/0 - (- 0 /'( O'}>/~ Ce/)~ ""61 Ore' (rvOte.'e~ Of t::.!..s..<-n':.rr"
I'll'} ....~: c.erl)fj!~~~!?y"~'li1b lYrT.Feeders
Constr Contr. Number '/ocf.<ff,'1 PCfJ', InS"twHa 1(lo,l{6 ?/illJ&rl~on or Relocation
- 'fiO .'1.' S. -<3 tlfie . 61
Expiration Date J J. .3d -?~~'.~ 'lTe!::/-', '/y1~~E:.,200 amps"o,141es;tI0/) $ 40.00
""Y "::r- Ui\lD.::; '~9A-l:'amps to 400 amps $ 55.00
Signature of Supervising Electrician.{10~ Rr~OJ~r/f4g1 to 600 amps $ 80.00
~ A I I ".,; ')C'f'/S48..q~:ov't1J9,6'u(f.~s or 1000 volts see "B" above
'1.....<-../ ~ ./Jvf.../!- ""''0 ()OA/~ '!,.f/II :.vfll"
'D 'D. Branch. C'i.rS\ll ts
O~ners Name.J,::/I"_f( ~/.J De..e../I' - /"OJy
, ~ Ne~, Alteration or Extension Per Panel
Address 7') l.{. > c.o " > t. /.p-v .
CitYJf~/-W Phone 1'-ll/-/"l ~(..
OllNER INSTALLATION
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225 FIITH STREET Dale 12 -"6
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726~~8Ign8Ium
OFFICE: . 726-3759
1. LOCATION OF INSTALLATION
"?., \.{ ~ c..o +I-<; "" /jJ..J
LEGAL DESCRIPTI9N \l"\D:2."Y\1U O~h1V ,
t2.L~7(W' n) I I.J;I. loq .--UV
JOB DEScwrION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
I
Expiration Date
I
--
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
~ers Signature:
-------------------------------~;r-----
DATE: 1!J. .q::.q-p ./
RECEIPT #: , I r'J..f'\')I",':"i
RECEIVED BY: i\Un.J JV\V\'0-
Lpl?
~
ELECTRICAL PERKIT APPLICATI~
~,,,. 'ob Number ~S?: \~-=>
3.
COKPLETE FEE SCHEDULE BELOIl
. A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
.'
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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