HomeMy WebLinkAboutPermit Electrical 1999-7-13
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Ode . . (h{ . ,~:lENTlON:Oregon law requir~s
"";,~,,zed Slgnalure U . )w rules adopted by the 0 you to
225 FIITH STREET Notification C regon lfIJl1i:P'RICALPERHIT APPLICATION
SPRINGFIELD, OREGON 974 li? OAR9 enter. Those rules are set forth t:1
INSPECTION REQUEST: 720090~Y.o S2-001-~01 ~ through OAR 9Sg.ylJ:( _ Job Number 7 10 'S r.r 1
OFFICE: 726-3759 cailin ~~ayo tam copies of the rules bv
g e center. (NotB; th~ 1'EE SCHEDULE BELOII
1. LOCATION .OF INSTALLAfi'BWer for the Oregon Utility Notif atio
$13 7 A- Center is 1-800-~e-2~ lfeslUential-Single or
MUlti-Family per dvelling unit.
LEGAL DESCRIPTION 2 Service Included:
11h37,5 $/ as- 00 Items Cost Sum
JOB DESCRIPTION
I Ct/t.c...4 <;,<,.,
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ON;y"
Electrical Contractor ~
-/
Ci ty /Phone
Supervisor L~~e Number
Expiration Date
Constr cJ~r. Number
Expirarlon Date
~". of "'.',i,iog ""',i,'..
Ovners Na~~/~~.~
Address ~7 ~:c;-
Ci ty' dl 0 .LP Phone "'/~~ /9U?'
~V~
OIlNER INSTALLATION
Address
The installation is .being made on
property I ovn vhich is not intended
for sale, lease or rent:
Ovners Signature:
~ATE~----~77711-7----------~----------
RECEIPT 1I:. ONo'f 'f /J // .
RECEIVED BY: t;{/ /.A.)~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
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 amps/volts
Reconnect. Only
$ 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' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see liB" above
Nev, Alteration or Extension Per Panel
One \l:i rcui t I
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting !
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
3.T
$ 2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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