HomeMy WebLinkAboutPermit Electrical 1999-7-20
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Authorized Signature . . ::tltlcatlOn Cent y the Oregon Utili \I
225 FIFTH STREET 100AR952_001_0e~lbhoserUlesariag~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 0090. Youma . throughOAR9!>2-Q ," (Xy q
INSPECTION REQUEST: 726-37691llingthe!e~~taInCOPiesotth~~s~c:ib Number -nOlO
O.FFICE: 726-3759 numbertOrtheO~~(Nole:lhel~l~ y. .
1. LOCATION OF INSTALLATIQN Center is 1~A~~:3~~~~~catfJAE SCHEDULE BELOV
27~:?<J ;:;:l 6fMm p~O . A. New Residential-Single or
h. )/~~ Multi~Family per dwelling unit.
LEGAL DESCRIPTION~ ( 'rfISP/3:. Service Included:
/7"~,,? 'fl. O~({) Aitttb,RMrrSIj.. Items
\ 'RefO 'kL.f:v,.".
C. UNOfA loafJ~-r.!:.!' or less
'fOOAI. ~~~~. al.500
'fA S48-4~R' -DlI4t?~ 10n
Permits are non-transferable and expire'fAIOo 'fH~iS Or
if work is not started wi thin 180 days . Each 'H~~d Home. or
of issuance or if work is suspended for Modular'-Dwelling.
180 days. Service or Feeder
l".'j" _
JOB DESCRIPT~ON
2..(ljI1I'V^*
2. CONTRACTOR INSTAL~TION ONLY .B.
Electrical contr:c,tF~Ii\J.rv-, )jJvW^L
Address ?t39~ L=Jm: FJu~1Y\ 0J. .
City ~ ) O~ ~h~ne~Vl09'51 :
Supervisor License rUiber 3779-8
Expiration Date 9/9/11
Constr Contr. Num6el ~lh3()tJ
Expiration Date 9/1 q 1
I /
~~erViSing Electrician
",,"m ....~~I O'!:P
Address ~
Ci ty ~a.y-f'{J / Phone n0 07-1/
OVNER INSTALLATION.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~signature:
-.
DATE: --iTZd1f----------- _
RECEIPT II: b')..'-(z,;t.. /I / /
RECEIVED BY: d (..oI~
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
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' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit $ 35.00 35 ,60
Each Additional
Circuit or with Service .2.~D
or. Feeder Permit $ 2.00
not included)
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
37.00
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