HomeMy WebLinkAboutPermit Electrical 1998-12-7
, .
:'na, following project as eubmIhd has ths
lOnlng, and does not require epecliIc fcng1 uoo
225 W~a p~ET ... . :~~j~~--=~
SPRINGFIEI:ill, OREGON 9.74 7~~.... /,
INSPECTION REQUEST: 726-3769'
OFFICE: -726-3759
\ '1~~~I 319{YN~'iC~:
\ JOB DESCRIPTION r~ Cl ~ . 1000 sq. f t. or less
~ (/ QdA-T- ~ 0 J>, _ r ,,'~ !6"!f!!:!!J SHALL Each addi tional. 500
~ \f'1 R11fD cXfSB1cU or portlon
~ermi ts are non-transfer~bl~C~I$Jj1~?5'p,i.f.eUlVDcA rH~j;)erftolHc WOb>
lf work lS not started Wlthl:I'I./V~.o. da'ysJ OA IS 'E~th'~~~d' dlfme. or
of issuance or if work is suspehaed4~~rr' . AHA~~eN~rtD9~~ng ,
180 days. A/nO SerlJrteF@R Feeder
B. Services or Feeders
Installation, Alterations
Electrical ContractorC)2 (-?(~-re.LC SJ::::;ev'ce o~ Relocation:
Address 00 (Arw ~I 200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
~i ty ~.A"L,A~-,,-.Jl.. Phone&..4~ -(In<;(( 401 amps to 600 amps. $100.00
\ 601 amps to 1000 amps $130.00
Supervisor License Number f..d::/:~.~,....:s Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
Expira tion Da te (n - (- QJ Af:4:.N
fOl/o TtQN:O;~IWlffary Services or Feeders
Constr Contr. Number. ~~CO I NntiticW~UlesadoPfg~~'Pra~ltlteration or Relocation
in OA Si10n Center. y the Ore 0 YO~ ~o
Expiration Date~ - Ill- - oc) O.D9D ~952'001.00Z(f61~I@!a~e'!,Ytl"ty S 40.00
c '. OU may obt 2B1h~ tfA~f()~f;Jm1#l $ 55. 00
Sign~re of Supervising ElectrifilWng the Cent ~~ dftb'O~92~s $ 80.00
7 , 0) l? umber for the O~rf)<4!ot&sw'eCf~te~ rt4~sJ6!PO vol ts see "B" above
(D t~OLvv ~".CtV CenterJs 1.egon Utili~ ty ItiEhO?e
.::-. u. ~''23~~U'J!Cf.atlon ,.
Owners Namet..-,On, .~r IA.-.t.JYY\.__(;:)s..o~ ).
~ New, Alteration or Extension Per Panel
Address ~-R- .
Ci t~\,\lUAA\:" JI A. Phone 7~J - L~M
OVNER INStALLATION
1. LOCATION OF INSTALLATION
~~Iq 13EV51?.t ,1../ S.
2.
CONTRACTOR INSTALLATION ONLY
The installation is being made on
property I own which is not intended
for sale, lease or rent.
lers Signa ture:
-----.-------------------\r\---~~.. ---
DATE: 'rl-' ~
RECEI~i i: \ \ ,~:.), S
RECEIVED BY: t \~JXQv
, ,
. ELECTRICAl; PERMIT APPLIEAT~
Cl t'y_ ~J9~"~~~be.;..~'(\ ~\4~<e '
3. COMPLETE FEE SCHEDULE BELOV
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
$ 85.00
S 15.00
S 40.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit --!
J
~
$ 35.00 ~"
$
2.00 ~ lJ-O
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 ~) d--o
5% State Surcharge [ ~~
3% Administrative Fee I IC
TOTAL ~Y %