HomeMy WebLinkAboutPermit Electrical 1999-8-5
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Supervi.sor License Number .:7,? 3 J - _ '\
Expiration Date
IO'-\-Cu
Constr Contr, Number;) D-3./6 '-C
Expiration Date
\ c:,- \ --':'0
, Signature of Supervising E~rician
'~~,/
Ollners Name t{ ,q.., W )3 {- ~ .., ~...J
Address
'7'1"
)"-..j~ 'l'} Nu
Phone {,,5 8- <g g 'j 7
Ci ty C--t 'I ...~-<.
OYNER INSTALLATION
The installation is being made on
property I olin IIhich is not intended
for sale. lease or rent,
ovner~ture:
'-- ~,
"""----'-
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DATE: K )(1'/ ,', 'tJ
RECEIPT ~:' ().5 '5/'2 1 /J
RECEIVED BY: AY lJA
ELECTRICAL PERKIT APPLICATION
City Job Number 9fo r"l7
3.
COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
'"k; "" '1--<- c = ~ ., \- - ..s.. ;) -? A. Nell Residential-Single or
I 06"'6~' "''f~U'''lTICEtlulti-Family per dllelling unit,
LEGAL DESCRIPTION 0 ~ ,/r v roou Service Included:
" \... v, .('l .0; t ..:.>,~ H -. J or -c l <> -\ 1HIS PERMIT SHALL EXPIRE IFTHE WClflitms Cos t
JOB DESCRIPTION _' AUTHORI~~'AN2E~fl{!IS gE~IJJS NOT S 85.00
J 0 a\\.,"", P .s "', R oJ. "- ~ ~ I'" '" Ie;: \cpMMEN :OFY~~IJ!E~R
ANY 180 DA'I:!i'ERl(!)[);Ir portion
Permits are non-transferable and expire thereof
if lIork is not started IIi thin 180,day-s Each Manuf'd Home, or
of issuance or if lIork is suspendedAf(f~NT/OI~:UrM9dular'(p.f-~1~i,I;Ig-1 tL
180 days. ' fo~l~w ~ules ado~SeJtv~c;~ Q.lfe~$,~\!'~,\1ty
~ollfJcatlon Center. Th?se IUles are SP.t forth
2. CONTRACTOR INSTALLATION ONLY In OAR 952,B()1-llte)l(..v(~~~~~19&A~e~~~5Bl.
~ 009Q,.7ou~a~o~~~~~~~!tt\~~e~~S1r~ions
Elec trical Con trac tor r t:J - ~ "'" A.../ &it1~AO-#fe"1JenAA, ~~JR,c;1Hi:h~njphone ~
g ~ '1 8 '!. ~ - ~ l--- numberforthe 9PEQgon Utilitv N<J.lilif~tion l
Address, , ......".c. A"" -< Centeri'2'0-1iSOf,'!l~~,9.:~.1K'00
amps' to--'--4 amps
City Flo~_.N~-< PhoneS~I)- <)"'l-'-36~1 401 amps to. 600 amps'
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$ 15,00
r ,$ 40.00 C[o
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
ru
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 10QO volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit 7
$ 35.00
$ 2.00 ~
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
s.
SUBTOTAL OF ABOVE
'1 90S ta te Surcharge
37. Administrative Fee
TOTAL
$ 40,00
$ 40,00
$ 20,00
$ 36,00
fit () 11
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