HomeMy WebLinkAboutPermit Electrical 1998-8-21
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electr~tJC~!ractor
Addres~HIC:: pe~l4l1= -.
. el'.\LL r.:r:rrnl: It" I HE WORK
Ci ty AUTHORIZED UNOFA'~ ~llT I: ti3T-
superv1~~t'1EL~~~~W ~~8~~DONED FOR
ANY 180 DAY PERIOD.
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
. ---/ .~ ~<'::( .~
C -
Owners Name .,L:) <>_ /? M/'c" P /
Address b.s-7 a _0-,...- v ~d
Ci t~...../_t>r:;.,.JcI Phone 7'5"-7' ~9' 7;
~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovoers ~ture: ~
~J/~
--------------------~-~~~-------------
DATE: -r-2/-fJ'.9 I
RECEIPT 11: OW r)'l '. /
RECEIVED BY: iY W /JIM/
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
J
'r .1:f"~"'\ {n
. I. ". J_ 'I . '
~,. ( ENTlON'O
ZOning fOl/ow rules d regon law requir
Dale ' Notification C a Opted by the Ore es you to
in OAR 95 enter. Those rule gon Utility .
Authorized Signature n Y\8I)90 Yo 2-001-0010 through OS are set forth
..!J-l..: I. _" "la)' ebl AR 952
225 FIITH STREET calling the ce t din Copies of the I -OOJlt.ECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9f1Vliliberf n er. (Note: the te ru es by ,
INSPECTION REQUEST: 726-3&~tth~OregOnUtilityN~~rho~e City Job Number qf>ols-~
OFPICE: 726-3759 ens 1-800-332_23 Ilcatlon
3~)'COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
j)tJ/!l t;,stiiICil~ 1
, J
LEGAL DESCRIPTION
11/J'3 f 3]l.f (jbfud
IJbbjDE'sbrPTION
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 ampslvolts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
I
$ 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 liB" above
..
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit Iv
$ 35.00
$ Zo d.>
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE i/U,()'J
5% State Surcharge
3% Administrative Fee q. 'i"lI
TOTAL /I r. sr (J