HomeMy WebLinkAboutPermit Electrical 1999-2-8
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',. '. ng pro ect as submltte<j' I'll tjl~Jpllowing
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?>."\i~~<f6~~TREET".. '~'F/),,_ 'HISp~ c WORI( ELECTRICAL PERMIT APPLICATION
SPRINGI'tEW, OREGONII ;/,4/1 ."IS484 RMlrlS '. , rfO/70
INSPECTION REQUEST: 7UX./i,'i6,?t'J1) NDONEiD "'0 NOT Ci ty Job Number (pi, _ ~6
OFFICE: 726-3759 . ., n R .
3. COMPLETE FEE SCHEDULE BELOV
1000 sq.ft. or less
Each additional 500
, sq. ft or portion
Permits are non-transferable and expire thereof
if work is no t started wi thin 180 days ATTErIl1iWW~\1I~h<j ~9ll'1 or
of issuance or if work is suspended for fo!,?w r~eB~~~~ urres yo~!o
180 days. NotlflcatiollEll'~~ 1%;~~u epgon UtJilty
in OAR 952-001-0010 thr es are ""I IOrth
2. CONTRACTOR INSTALLATION ONLY 0099. YO!i'nMI9-lillfui8f: t&'d2Afl952.001-
C . S '-l L, callingItMt%MtW&r,eR1cf1J~Bt!'Illftj;SJY
Electrical Contractor ~);" 'JfrJIVIC, ~er<fer!J.te\3n~lPftJ:I.hete'ePhone
,f) ,(J.; \4 ") '.- Ce te . 1 on trilly Notification
Address r ,f). roD" f 0'- . 2b~ ~~ps8gQ-:3ft?sS'344).
(" D r 31' 201 amps to 400 amps
City C)Drd Phone 741 -}.] 'r" 401 amps to 600 amps
r 601 amps to 1000 amps
Supervisor License Number /'/0 g 1.'\ Over 1000 amps/vol ts
I D -() I-Q I Reconnec t' Only
Expiration Date
d-Ol<f
I D-OIAJCJ
1.
LOCATION[OF INsrAbLATION
\oS S 1\ \ A' ;)'\
LEGAL DES~PTION
/70335r/OI.($00
JqB DESCRIrrION
IA) I r{' taV\
Constr Contr. Number
Expiration Date
SirrUj}e of s;z::tg Ele,ctridan
owe:; Ked-hIS f\\a; ts
Address [0 c)S f\\ 'l A-' hr-
~iJ gt
1
OVNER INSTALLATION
City
Phone
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------------~-------------
DATE: 2-/ f/ 'if /')
RECEIPT #: t/ ,Z l<-2./' (J / J
RECEIVED BY: /. J(, )_/
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
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
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIB" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
35,00
$
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 35.00
5% State Surcharge \. J 5
3% Administrative Fee lJ (l C,
TOTAL ?':J, ,,?()