HomeMy WebLinkAboutPermit Electrical 1998-11-20
The following project
zoning, end doee not ~~.~~tho... _~...
approval. '-.._v tend lIDo
225 FIFTH STREET Zonlng~\,? ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974770s1'l I,I._J...:-:-" a' '2../
INSPECTION REQUEST: 726-37b~ ,\ NO City Job Number : \ ~7 VV7
OFFICE: 726-375~ quire~~ \,"h tllgnawre V-:----V TICE: .
ATTENTION:Oregon aw re Q,Ulility ~ €~~1'6 "T~ F~ SCHEDULE BELO\!
fl!I\OwtooA'J.'IIGNltNbtN'S'r~tR~~e1 forth II "'c: IVIII SHAll EXPIRE I
N~~~c~\\\rl\t~~ii}.~,~~ ~E..,nn1- . A. N~UTR'esMIS!J S:i'lt.=S~n~Je 61HE WORK
in OA~~52.0~1~~_,.,_.~:A..Of. the rules by t1.l,I:!I~lfYiF!:rl!1,.~,ty,,}~i1 dl;iei!i'ffigIlPf1j'~OT
O~g,. ~cfiFII1\l.ylu>D_.~~~~"'" Serv 1 ce lrnclulieCli,BANOnNFrJ F
~~Al~r.~:lt!1\3led..??ho~e. ANY1R()f)A'fPFRlnn Items OR Cost Sum
bfl{.lor the Oregon Utility ''lJ[lii'''Q''~''
nurn JOee/m,~~l\{iCOO2-2344)" 1000 SQ. ft. or less $ 85.00
It)tKl . S\~.n:t_~Hlfffi[\) Each addi tional 500
r sQ. ft or portion
Permits are ,non-transferable and expire thereof $ 15.00
if york is not started vithin 180 days Each Manuf'd Home. or
of issuance or if york is suspended for Modular. 'Dvelling
180 days.' Service or Feeder . $ 40.00
2. CONTRACTOR INSTALLATION ONLY
I'
Electrical Con trac tor (I f .'\,fi tili,o. :~.
Address p. ()" iI.rn. 142> 'J....
o D I ,
Ci tY~l\1 fnl\ l..utd. ,Phone _1~.L::1..1.'3b
~U .
Supervisor License Number --Lk.~ In S
IO-I-qq
5'i?4Q
Expiration Date
Constr Contr. Number
'Expiratio'n Date'
q -1-00
Signature of Supervising Electrician
t:2"77//~o/
Ovner~ Name Rtffi IJ&o.,nIN. }
Address~.rUv \ 0 ru~
(f
City~" . Phone .
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATar::- ~J :;;-71'1-------------------
RECEIPT #: U :::>d/ 0 K
RECEIVED BY: y\, (Y\u.~~
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
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 "Bit above
,"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00~5'.OO
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3S.oo
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