Loading...
HomeMy WebLinkAboutPermit Electrical 1999-1-4 Nov-09-9S 09:50A . . ,...1 srf1INc:p'I;:LO I~.. The fOJ/owing project as s . Zoning. and does not requbmllled has the 'O/jowing . approval. Ulre Specific land 225 FIFrB STR.EET L.~.n ELEI!iirCAL PERMIT APPUCATION SPRINGFIELD, OREGON 97477 ZOning~r<-- //c.rl /J-) r../ INSPECTION UQURST: 726-!PlI69 /- '1.- 'i e-I~ 'J Jy:' NUlIlber '1 (JU 7.:J'l ;r OFFICE: 726-3759. _ Authorized Signature _3. COMPI.ETE r'J::~~HEDULE BELOII 1. ~:J.ON 0)' INSTALLAUON.... /J !.5.S.~'::> ~./ l71.ArYl r'~ New Residential-Single 0'- . outo Xul t i-~'ami,l..YTgW,'TI<bI..JG~olllli'(l.reqUlres Y .. LEGAL DESCRIPTION Serv i ce In~l uoea ies a~,pted by the Oregon Utility h /7 D5 d..).... 000096/ follow ru 1l~1Ilfu seGWs are !S\l~ort ~ Notification Cen . 0 hOAR 952-001' . t"Illl1J1 P.JR;CRU'TION /J. 1000 sq. fit OAlB 9te>s-901-001? th~~~sQ\l t~S by (/7!!)7t"'~' c.fJ?.(l.~T . . ~~ Each addm.~a'iOI5GOayuu'Q"ICote.thetelephOne THI::;t't:nlvlll''''''~~~'' ..' ~. . sq. ft or egi\"I~~ecenter.(N 'Tt>~Notification Per\'!fIW'K'1-r!\:Zf!l3~)NL.~!'.s1)j,<!:(a5re1M'ndl~d~;fre thereof I berforthe OreQO$lljlli.1w . if vorlc. is not started vi.thinr180r,dal'S Each Hanuf"cI !1j\ome>&rI1eris 1_800-332-234-.). . of i'S'suanc,G'OlO (;'f.I(;d';RAi)~J\~'usP'e\,\{~a for Modular Dvelling 180~1f{~~~1 PAY PFRIOfl. Service or Feeder S 4'0,00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation. Alterations Electrical Contractor or Relocation: '~'" Address l:9.q~ ~ Q1)~U}O. 200 amps or less S 50.00 ~ I 201 amps to 400 amps ----- S 60.00 Citl'..J:J.AQPM.O.... Phone 0"Rf"/o-tO) 401 amps to 600 amps --L- SlOO.OO ~ ~ r) n /(9 (l 601 amps to 1000 amps $130.00 Supervisor License Number ~ fL.. < Over 1000 amps/volts ----- S300.00 ~ Reconnect Only ----- S 40.00 Expit"a~ion Date tOil C. Temporary Services or Feeders Conser Contr. Nunlber~ - /? Installation, Alteration or Relocation Expiration Date I of Of /q q 200 amps"oT less $ 40.00 , I 201 amps to 400 amps - S 55.00 Signature of Supervisin~ Electrician Over 401 to 600 amps ----- S 80.00 ~"-. ~0' Over 600 amps or 100ll voLts see "B" above . ~ "'or-. - IIl..L A D. Branch Circui ts Ovncrs Nam ,~tv...ra>OI. (u Ii. l'~: f'/. o' j """/ '..,.- Nev, Alteration or Extension Per .Panel Address LJV m Q.LK 3 Citl'~.LQcL.-- Phone 7J...CtJ ~~ 01lNE~ ~NSTALl.ATIO/l One Circuit Each Additional Circuit or ~ith Servi>B or Feeder Permit ~ S 35.00 $- To 00 . UO .~ The install.1tiun is being mada on prop~rty I oyo ~hich is not intended for sale, Jcase or rent. F.. Miscellaneous (Service/teeder not included) -Each installation ?u~p or irrigation S 40.00 Sign/Outline Lighting----- S 40.00 Limited Energy/Res ----- S 20.00 Li~ited Energy/Comm ~ S 36.00 5_ SUBTOTAL OF AnOV!:: / / 0 . cTD 5% Stale Surcharge ,"). .,>n 37. Admini:;crative Pee .-:i_:.JO TOTAL -LJ 'x - -:l1L Owners Signature: ---------------~---------------------- DATE:!.... ~ 7 RECEIPT ,: D:S::2 <-f~-~ RECEIVED B"t~ ra (I' tJ../L..O