HomeMy WebLinkAboutPermit Electrical 1999-7-13
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225 FIPTH STREET ~J%' :u!uo;al!LECTRICAL PERHIT APPLICATION
SPRING~IELD. OREGON 97477 ,., \". -- ' ,la^oJdda f)
INSPECTION REQUEST: 726-3769>sn pual O!j~S aJ!nbaJ IOU saop pwitliNu~ob Number vret V 7't I
OFFICE: 726-3759' 6U!MOIIOj aul sau pa>>!wqns sa lOafoJd 6U!MOIIOj auJ.
3. COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA,~~ON l
I-V2 i-l Q; (~ r"AAf--r
, LEGAL DESCRIPTION
116~ 3L-f 1'-1 -i')<S~
JOB DESCRIPTION
3~~~
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
!
2. CONTRACTOR INSTALLATION ONLY
E1ect~ical Contractor ReYnoU
wJ)
E/ednc.
Address 21/~
City t:uy,y,p Phone ~L/?,- 72cP
Supervisor Licen~e Number ~~~~
Expiration Date 10/0\ JOl
Constr Contr. Number.:2.0 -I ~~C
Expiration Date 10/n) /qc,
Signature of Supervising Electrician
~~~
ovn~~me 3~/ fk~
Address L/J.....J Pi t.<.RMM.u-0 ~
City -1~~ Phone 1J..~' 1;;1.3<'
O\INER INSTALLATION
The, installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~---- I)iJJ-I'1:J~ ~:::~-=-:~------
:g:~~D'~Y: /.' ;J(jf\ \.'-
. ~: .... ..". .
A.
Nev Residential-Single or
Multi-Family per dve11ing unit.
Service Included:
Aft. Items Cost Sum
fOil . l::rvIIOA/.
100Q,"V!3~r,1~ rU'QE ,lPssgOn .. $ 85.00
Eacll7 t~4ft.tonaIaSOGJd b -.V requi~
sQQ030''Or5;p'0'&"'t'ltoll 1ho Y the Ore" es You to
the'Vts\tY'ou rn~ ,'-OOtOth_se rUles ct'IM.<'lf:l,
Eachu!hliifu1frhe )i~3i!'l v~ ~,:,gl1 OAA e Set fOrth
Modul~rQ}feJ~ilfg (Not'es Of th 952-00"
Servi ceCQ!it~F~J;d:fJ5on (J: the 1"11 'SrUJ6s gi
r,s t-ROO II/llyN ~~hone
Services or Feeders332-2344~lihcaUon
Installation, Alterations' "
or Relocation:
B.
C.
200 amps orAless $ 50.00
201 amps tf':!6~~~s $ 60.00
401 amps to//,m "'Mllps $100.00
601 amps~jP9&4nWps $130.00
Over 10liltlA~~gl'~4q $300.00
Reconne;~v6'~c. DUt\1 S't,., $ 40.00
'80 ~D ZI~);l r.-9S't
Temporary sef>\11~~~iltt~i:.l"!tS'
Installation, Arf~01~Al~~c~~
. .UCWS'1'l /8IM
200 amps or less ~~~oOr
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "8" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
~
One Circui~ $ 35.00 ~.-
Each Additional
Circuit or vith Service '-\-. -
or Feeder Permit d-- $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4t:,'1. -
I,c;.., -+- 1,1'1
.:1HI~, I;}...
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL