HomeMy WebLinkAboutPermit Electrical 1999-2-11
The, following project as submitted has the following
lOntng, and does not require specific land use
, appro~val. on\'n\ '" ". J
l~ \ / F.LECTRICAL PERMIT APPLICATION
97477 Date ". .~~ qd /s (/
726-3769 L ~ (;1 tY JOU' Number I 0 - f '()
Authorized Signature _
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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LEGAhDESQll~TION ' 7\
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JOB DESCRIPTION
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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
Elec trical Con trac tor ,Tp1=t /VI 1';- ELEcT,
Address IDOl 5 w LO/Vh ~/~ S<-(
Ci ty Po I!- 't(,qt<--()
Phone ;;'Y2- ;Z~t/
Number 2. tptg.) /
Jol77
Supervisor License
Expiration Date
Constr Contr. Number "3~'J. 'S 2]
Expiration Date IO/f 9
Signatu()~upe~~trician
Own 6",am e SiliCn.O J3, (' (ip .
Addres3tfO~n~a(Jff V:(U) IBM
Ci t/Sp6tJ(Jl.;1Jri Phone 7l/ 0 - [tjL/ if
O~ ~MTALLATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-:~-~;tJI-(-~~~-~~~----~
RECEIVED BY: ~ "/I III (/l /l
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each adcli{t! i.onal 500
sq. fr)o~\r~~tion
there"oif::; PEfiM1T SHALL EXPIRE IFSfHE5V\CW1K
Each l1allv."f)r"?:~'~e)~n'Ho,X:R THIS PERMIT IS NOT
Hodular' D~eilmg" t:" ,
Servi:d!;1'6r 'Fee'd'eD i3 A8,~NOON$=[)L{EOtlO
B.
'-, .,' "'. ; :., f: .>IU.~1tl"~r-',
Services or' Feeders
Installation, Alterations
or Relocation:
200 amps or less / $ 50.00 50
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00 .
6Pc,!r~~plsl(J1b1:Q;~OO amps $130.00
~9~1:f'^1.~~ ~~~~fr reqUires yaJQO. 00 "
il~~e~~tC~1Yt~r. Th Y he OregDn 8tit1CfJ. 00
" AR 952-001_0. ose rules ar S'Y
C. O'PfE@I?,Qf'Df.pmqySol~)fJct@so~ tYAflg5.~ forth
IRIS/tia~Wc8nf' fBJl1 ~~JD~si&qh8r 'Fe~@ca t ion
nUmber for h n e\ (Note: the tel ru es by
200 ar~JliIslot qr@gsn Utilit~hoge40 .00
201 amp's e{6s4Q"(ID~_2-2"A ca~n;5.00
Over 401 to 600 amps ~~). $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
00
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,"
Ne~, Alteratio~ or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Servic7?
or Feeder Permit 0
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
I '/)0
2.00 / It) --
not included)
f
$ 40.00
$ 40.00
$ 20.00
$ 36.00
to 0 P3-_
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