HomeMy WebLinkAboutPermit Electrical 1999-9-2
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225 FIFTH STREET . ~LECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 9741-'TtTEN IiUI'. _ ' law requlles YOUTu
INSPECTION REQUEST: 72fu1~~69Jles ad(l('l. '" "ytheOregon U~I~~ty Job Number 99 0 j.~ 3
OFFICE: 726-3759 NotiiicationCer' \ser~les?~e"s~e I u:
'nOAR952-0()i,. "roI3~"CCOMP~~1FEE SCHEDULE BELO\l
1. LOCATION j)F INS~~lJ}.:'!.i1igltouma\' o"tn ,opies olthe rules oy
6 g s ril!'1JH{.1.thp rr.nlro 'otrA!heNE1\{PR~'S!iden tial-Single or
n~mb:rtorthe G"PC ,.1 Utility.M:U:)j\i~a~'ihilY per d"'elling uni t.
LE/Gfb3j~PTION OII"J1CentE"" .'1_332-2,SeUYlce Included: Items Cost
JOB DESCRIPTION!,
1fA<-- ., "'~ ""'"
1
Permits are non-transferable and expire
if ",ork is not started ",ithin 180 days
of issuance or if ",ork is suspended for
180 days. /
2, CONTRACTOR INSTALLATION ONLY
/
/
Electrical Contractor
Address
City ~one
Supervisor Licens~Number
., /
Explra non Da.te
/
Constr Contr. Number
/
Expirat:ion Date
S. I 'f S .. El ..
l~ature 0 upervls1ng ectrlclan
1
O",ners Name /!Job/ &fi7
Address '13 J 'f
City . C;~ P(~
,
O\INER INSTALLATION
The installation is being made on E.
property I o"'n ",hich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~1iT1-~-~~-~~:~--~------lJ 5.
RECEIVED BY: .c..r /~""'/
1000 sq.ft. or less
Each additional 500
sq. f t or portion
thereof
Each Manuf'd Home, or
Modular .D",elling
Service or Feeder
.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
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergylComm
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Ct9~er 401 to 600 amps $ 80.00
\\lOTI ~er 600 all!J?s Q,LlQOQ 1U)J. ts see "B" above
THIS PERMIT SHALL EXPIRE IF1l-IEWOHl\
~ / Alff~ORI~EMjllID~Pl~:!;flERMITISNOT . "
e4~~~ O'~II~ARANDONEDEOR
/\"uMME~ 1\'rt'€l:':lUon or Extension Per Panel
S/PIiTII W~ ANY 180 DAY PERIOD.
t7 One Circui t
Phone 7'1(,-- 'II II? Each Additional
Circuit or ",ith Service
or Feeder Permit
not included)
'7
.:;-
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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