HomeMy WebLinkAboutPermit Electrical 1999-1-7
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The following project as submitted has the following
zoning. and does not require specific land use
approval.
Zoning ~J (1..
225 FIFTH STREET Date ' ~ 1- "l "i
SPRINGFIELD, OREGON 9747~. ~
INSPECTION REQUEST: 7~'C_'j"'1g~s,gnatura
OFFICE: 726-3759
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1. LOCATI<W OF INSTALLATION
~').,o ~uJ H.II< uP
LEGAL DESCRIPTION
12. is, 1)4'" roP/lj fA, ':2,
~IOorl~9~: DESquPTION
1\ I~UI..Jl-I-
I HI~ t't:HMII :SHALL t:i\t'IHt: It" I Ht VVUHI\
APe rmi;.ts Ea to e,1 non-trans'n.e r ah le~land exp i re
'.If' r IV. IIi: t.' UI'4u.....n Ii 11""-[ L.a' HVU,\ 'Ii.""! v l' 80 d
1 'Jor~ 1S not starte W1t 1n ays
C"fH"'-' ,,,,'" "P '" ,- 't'n""E" "'''''
o .."tssuance 01:' tf, wot'k! l'S 'suspended for
t}~O, Iday.s: PfRIOn,
F.~CTRICAL PERMIT APPLICATION
'::':ty Job Number C4,~060(
3. COMPLETE FEE SCHEDULE BELOV
Sum
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
I~Installation, Alterations
Electrical Contractor f:.< (Jl:t:.Tt?,r..AHXjl>A.,,-,tJ;.ctsor Relocation:
Address_P' V l3~JC rl-"~ ~ <
City t:./.J.a_AI~ __'. Phone~",
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Supervisor License Number _~-.+rP9 r'
Expiration Date //')-/ _ qq
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
2><4 \6. \).. ~ ATTENTION:Oregon la\'i[I~ireB yOOas t
follow rules adopted by the Oregon Utility
l*fisqtiWt Cooterlessse rules areS,e6~~Q
EirctiAfij\J5a.lJ6I!>altl1~rough OAR 952-001.'
s(j90f't'oormppl1lli~copies of the rules by
thelll!iDI~ the center, (NotA' thA tAle~ol~. 00
Eachr~M !hel\9~6lfUtility Notification
ModularC!;!M~Isi~00.332'2344)
Service or Feeder '$ 40.00
200 amps or less $ 50.00
201 . amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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Constr Contr. Number "/{J,i>;r>e;
Expiration Date I~-"O-I}O
Signature of Supervising Electrician
~~- ~ --1 c.LL,-
Owners Namectl4-l?-a.." 1!..1:u1J.-!-L
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Address ~ ?, h e.v-4.IL M II ( u tJ
Ci ty ~ ne, r.-< h#(LPhone 0l1'f -lJPt17
q I
OYNER INSTALLATION
The installation is being made on
property I O'Jn which is not intended
for sale. lease or rent.
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Owners Signature:
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DATE: ! - I -~ "\
RECEIPT '.: D -~ L.j. "'\ ,
RECEIVED 'BY: 1\ - \\l\ ('Lf k4 ria
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or Extension Per Panel
Miscellaneous (Serviee/feede.
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 =3, 'S, aD
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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