HomeMy WebLinkAboutPermit Electrical 1999-9-1
ATTENTION:uregon law lequlles you to
fo~l~w ~ules adopted by the Oregon Utility .
Notification Cenlel Those rule~ 9'" ~~. '~"'h
in OAR 952-001-001 0 through O'ELECTRICtu: PERMIT APPLICATION
HM ~::>~-U01- ~
9~;~7 376~090. Xou may obtain copies Oclhf' 'umN b ? -r-(=o 9902</3-
- calling the cenler. (Nole: the tele~hone um er
numberfor the 03~go'CbH'piJB1iBtimiCSCHEDULE BELO\!
1. LOCATION ..QF INSTALLAT}:}JN " Center IS 1-800-332-2344).
/'1tJ6 ,i')/;'; rY7/Jnd /h8~ ro/1avr,. A. New Residential-Single or
~ . Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
11~3,~2~ Off~K
_ JOB DESCRIPTION 1000 sq. ft. or less
/, rn r. b d r'J7" rf {f / <;' ~/?/./r ",,1:'1 Each add it ional 500
AI sq. ft or portion
Permi ts are non-transferable and.Qli~E:'" . thereof
if work is not started within l~t~~g. . Each Manuf'd Home. or
of issuance or if work is susp~d'~fTSHALL Modular .Dwelling
180 days. C HOFlIZeDu ea'iiWf~fP or Feeder
OMMeN NDeFlTl-/1 n-tet1.\ij
2. CONTRACTOR INSTALLATION O~lIN 18 CeDOfllISA~ef:$f'5ftMm.<I lflMers :
. - ODAYPE:FI 1i-M'.tllliAk9-l:..!?'r\, Q9lterations
Electdcal Contractor/Jvlff7,},1/1 t/olrtJnl"SJP- or Re"lo"'tM.E!n:
Address fJ. 0 !3o>r 1/05</,{ 200 amps or less
201 amps to 400 amps
Ci ty 7" tr9r'/U' Phone...lLK<V- t:JC!..Z1t 401 amI's to 600 amps
. 601 amps to 1000 amps
SuperViSOl" License Number ~qq/ jLE Over 1000 amps/volts
Reconnect Only
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFPICE: 726-3759
Expiration Date
'O/C;q
Constr Contr. Number 1J1?/t/5
Expiration Date q 'II t'}'O
Sign
lectrician
~, ,:.
Owner~ Name _\' +m. (h ,"11 , f f J() n <;(/-r II P If lfY1
.
Address q~ 5IJ i-Inl.{fir n 8, ,-r/qf7 ,0"
Ci ty ~fi.ud Phone 57 0 -/'zJI't
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Ovners Signature:
~~TE~-~---'9~~1';---------------------
RECEIPT #: . I' 0 'Srfi '1/ b
RECEIVED BY: ;tU/ tIfI ~
It ems
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bft above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 --L-- $ 20.00 10,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
'~O,~()
I , 0
, " 0.
:2 :2 . () 0