HomeMy WebLinkAboutPermit Electrical 1998-10-30
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125 FIFTH S'rl.lEET THIS PeRMIT tAull\orlzed SIgnature C&L PElUIlT UPLICATION
SPRINGFIELD, OUGaN 97fi17 " "NIlLL _
INSPECTION BEQUEST: 7~'('!S?69IZeDUNDC- eXPIRelFTHe,l?ity Job Number 103s5
OrrlCE: 726-37~9 COMMeNCeD ",R TH/~ Pe~'. '.ORK
I MI." ^_ OR IS AS 3. CdI{p~fEB SCHEDULE BELOV
1. LOCA'UON OP :otST"'....V.:nON1a Y p ANDONED c- v
1011 P'LE:-t1...<-:::(L(I-\ F11100' A. NevCR'isidential-Single or
, Multi-Family per dvelling uni t.
Service Included:
.BATSiIlWi1W.-R,'n~ders .
tal/alP . If:'. :d ~f'alW8/iS'ou to
Notitiefi~Cft rg#py me Oregon Utility
in OA en er.lhose rules are set tfh.
0090 ~6lP~9s-1(Ji-1a.mugh OAD 0"':'.0 1;;0. DO
.~ iDlI\Soilll.liflQ91~IiR\l,t ~ 60.00
Call4~t1U1I!3nMl-~J!~~~1 ~es '00.00
num6elt~Pif,l5~ ~ . ~~lo";,,,~e$130.00
OVtte..\9PP: J& r l\u"I/"allOI$300.00
Reeonnl!e't' tl: -332-2344,. S ~o. 00
I.ECf'7IJD~Sfllr;JON 0700u
olDlJ D}saum!!t.l 1000 sq.ft. or less
f-\P\r/5t;Lu~\ T"o..L(WLff\ 1(\~T6..,u..., Eaeh additional 500
. sq. h or portion
Permits are non-transferable and expire thereof
if york is not started vithin 180 days Eaeh Hanuf'd Home. or
of issuanee or if york is suspended for Modular'Ovelling
180 days. Serviee or Feeder
2. CONnActOR INSTALLATION ONLY
Elec:tric:al Contractor SecureCom,lnc
Address 1128 Gateway loop, Suite 122.
Ci ty Springfield
Phone ll88-358S
Supervisor License Number 7~LE
Expiration Date lQ/Ol/99
Constr Centr. Number3-3S3ClE
Expiration Date 10/01199
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
C. Temporery Services or Feeders
Installation, Alteration or Reloc:ation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 emps or 1000 Vo!ts
Branch Cireui ts
Signature of Supervising Elec:trician
~~ J"' --;...-
7t Ovners Nallle6.-L\.I~TlL'lL~.lrt.
Add nss " I 'j f: \ 1:,fu L'll} f: C\U t .
City CLX:T E:- (\ r:-
$ 40.00
$ 55.00
S 80.00
see "8" above
Nev, Alteration or Extension Per Panel
E. Miseellaneous (Serviee/feeder
-Each installation
Pump or irriration
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Cemlll
One Circuit
Each Additional
Circuit or vith Servic:e
or Feeder Permit
Phone
OIlHER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
Dm;--~-;iJj;;fr----
lUlCE.LCI Ii: ' (' 1/<11 P .;
llBCEIVED By: . "I WAA'
5. SUBTOTAL OF ABOVE
S% State Sureharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
S 40.00
S 40.00
$ 20.00
S 36.00
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