HomeMy WebLinkAboutPermit Electrical 1998-10-6
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225 FIFTIl STREET ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 971t77AUtlr~1~renf'V\ /)//1\ C
INSPECTION REQuEST: 726-37.~'&rH, IIV1IrSHItL Ci'y .!.ob Number '1' /(H~__O =-s
OFFICE: 726-3759 DRlle, L EXA
COMMe, D UNDE/f 1ti'9HPlf~ FEE SCHEDULE BELO\l
1. LOCATION OF :j;NSTALLAT:EON.'IP NCEDOAI rHISPER' WORI(
(::l(P() 1.0, (\I/J i'Y1nl h n0~v/)~ Slta~NrJ;l,~v'~wls'$c;I.~ial-Single or
. : -. RI()() "'k\'lIF(Ii,et\Rm'WY per dvelling uni t.
LEGAL DESCRIPTION Servic~Included:
DD?r07~1 () Unn Items Cost Sum
1000 sq.ft. or less
Each addi tional 500
sq. ft or portion
petmits are non-transferable and expire thereof
if york is not started 'vithin 180 days Each Manuf'd Home or
of issuance or if.vork is suspenaed for Modular Dvelling
180 days. Service or Feeder
2.-' CONTRACTOR INSTALLATION ONLY B. Services or ~
. /:,.j. Installatio~ations
Electrical Contractor i:urt'J/Ji!.. ~fec..ltUC ~c:..~location:
Address /ZO /lUJ1'J,1?Jf> 200 amps or less ( $ 50.00 s-t'
I 201 amps to 400 amps $ 60.00
Phone 3c;t(-3jfo 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number JtJ9'd 5, Over 1000 amps/volts $300.00
/ / Reconnect Only $ 40.00
Expiration Date 10 j _(7/ Air.EN
, fOl/ow ItQN;Or1)ft/lgqrary Services or Feeders
Constr Contr. Number 2n- 220rJPt/~lesadoPfllli6till}:M$s!ftl Alteration or Relocation
- in OAR n Center ~ y the Ore S You to
Expiration Date /011 /0/ 009~2'001'00~bO{\'il1lU1ee~I1'e!llility $ 40.00
. Calli may obt rrrflm~o~fi.{:)\l f(lI'lRs $ 55.00
Signature of Supervising Electri~gngthecenter eep~loft fj(!8.Oi9JPs $ 80.00
1A' (P () () 0 . ... error the 0 'd'~e.tlllg ta SUIo!i ~OOO volts see "B"; ab,ove
d' ,; (--'~ --4 : &~ CenterL~ 1regon Utititvl'/ ~Phone '
v ~ D. '8fje~2$-4;.~fiJn
Ovners Name ~ (f Itr.P DSz..u 4).
"1-::-." ,,--/l--c-. r.1 . ...LLC, New. Alteration or Extension Per Panel
Address .~~ r-. ~~ ~-f
Ci ty ~ul Phone .lL/L/ 4sJ:l-!
O\INER INSTALLATION
JOB DESCRIPTION
City.5t-1-.,o! ,...{
The installation is being made on
property I ovn vhich is not intended
for e: l~ase ~r ren t.
19nature: _
.h r1 J J A' ('.Ie
-----------~-~--~-7----~------------
DATE: V / (0 tl'i'( .
llr:cr:II'T II: . /l \I r; {. z.. I f
IlhCr-.rVEO BY: ..:...r (/V~
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
$ 85.00
$ 15.00
$ 40.00
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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