HomeMy WebLinkAboutPermit Electrical 1999-8-2
I.,
~I'he <> owing project as su ml .
zoni.l1g, and does not require'specific land use;
app,roval,. ('~
ZOning .
-=6 "d.- -., 1
Date. ~
AuthorilJl~if~fufJI STREET
,. SpmGFIELD, OREGON' 9 7477 AUTHORIZED UNDER THIS PERMIT IS NOT
INSPECTION REQUEST: 726-376~OMMENCEDORISABANDON~HJob Number
OFFICE: 726-3759 '
ANY180DAYPERJ9){1 COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION
~ 5"0 l3eITh~~ 1<D-46
NOTICE:
THISPERMITSHALLEXPIRE IF~AL P~IT APPLICATION
9 ? -()~ S-l/
. A.
LEGAL DESCRIPJI..ON
l70 5/ )'00 (J'L'fOO
1// E'w
7 t{ b-- 84 '-1'1
0\lNER INSTALLATION
The installation is being'made on
property I ovn vhich is not intended
for- sale, lease or rent.
Owners Signature:
~--------------------------i-~---------
DATE:'~/Z./'ll 1
RECEIPT tl=: tJ 3 )0 {. r ,. / / J F
RECEIVED BY: V WP'I1./' '
'--
NevResidential-Single or
Hulti-Family per dwelling unit.
Service Included:
Temporary Services or Feeders
Installation, Alteration,or Relocation
() d
$ 40.00 '1'-
$ 55.00
$ 80.00
see "B" above
C.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000~volts
D.
Branch Circuits
Nev, Alteration or.Extension Per Panel
$ 35.00
, .
Orie Circuit !
Each Addi tional
Circuit or vith Service.
or Feeder Permit 7
Items
Cost
Sum
JOB DESCRIPTION. 1000 sq.ft. or less
o F-tF /U:: (3 L 00. 5Etev'IC'6" ,Each additional '~OO
'.. . , . sq. ft or portion
Perad ts' ,~re non-transferc;bl~ aA1lT~bllpiUlel:ur(7Y('l!1 ial:,4~tjgP...bS ~9ut(J'
if vork is not started Vi thlnf<1l~t1.8.p;adopted b~itAAj~9Uffi.alit~~me, or
of issuance or - if vork ,is.",sut!.ipti~:...rt@~nter.Thos~fillN!%f;R~fi1htpg
180 days. , in OAR 952-001-0010thrcRlgfi'tl~ 952_0~der, ..
~ , , . 0090. You may obtain c~'es of the rulec hv
2. CONTRACTOR INSTALLATI. ON ONMlling the cent~ iN ~:tBe~~ g-r ~~eders .
.,' .' ,.numberfw:thaOregon ~~~t~f8B, Alteratlons
Electrical Contractor ::t=/UF/ IVtT '~ rri'<~(~1_800_~32~~~)~Rt~"b9l1 , ..
Address~33;J. ~N t.. f<../TW'60;LI ;QP" 200 amps or less
. . . 201 amps to 400 amps
City /~ rv.s t.. rl"Q( ,rl<- Phone$03 '?'o 9 0 $3 3 401 amps to 600 amps
iU,+.. 601 amps to 1000 amps
Supervisor License Number ;;<1'08/ ~ Over 1000 amps/volts
/ I Reconnec t Only
ExpirationDate /0 t>1 Z)I
f
Cons tr Con tr. Number '3 (p, Z 8 f)
Expiration Date '7/3// cJ 0
s~.gn ture of Supervising Electrician
Ur&v ~
o ers Name 1h~ ~
, Address ? ros /3,/1''/ d'""
Ci ty ~ () !-cI Phon:
S 85.00
$ 15.00
. $ 4b. 00 '
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
31)0 ~
1
,.
I 0 flU
$ 2.00 7
Miscellaneous (Service/feedernot include~)
-Each installation 1
Pump or irrigation ' $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 ~
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE "3 5 ~ ~ .
1'1oS ta te Su'rcharge .-z.. 5 ':f ~
3% Administrative Fee ~
TOTAL <. Jr'? c.( ()
,
E.
5.