HomeMy WebLinkAboutPermit Electrical 1999-1-25
,
zoning, an
approval. . ),]2 f2-'
,ZOning /-J,Cj-CJ<j
oroe ~ A~
jz,gQ, Signature ,'El':TION:Oregon law require~ va .!.Q..,T
2~~"'fHTH STREET -N fO~I?w rules adopted by the oreg~'r~&f.MVuCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747 ~ .ollfrcatlon Center, Those rules are ~et ';oy ~ v / I III L{
INSPECTION REQUEST: 726J!'l~952-001-0010throughOARd52!irOrtjob Number 10 7 CI
OFFICE: 726-3759 0090, You may obtain copies 1. ,~- 1-
calling the center (~te' tfiU?.!i'}j,T~e:r~E SCHEDULE BELO\!
1. LOCArJ:ON OF INSTALLAT]ONnber for the Or~golJ uin N ~f.no~e
tfCl'l"r h112.~""r/"A- CP.nt"d~1_80~33~~\lrC#{!s<l!i1(!htial-Single or
,I 'Mura-Family per dvelling uni t.
LEGAL DESCRIPTION Service Included:
;707- 5/ Y't' Oi'ff>D
JOB DESCRIPTION . /7 - 1000 sq,ft. or less
<;;P It ezt:l.Tf(,iCAY s:..~IG<IlfCE: Each addi tional 500
JHI~ P.EI'lM T ssg. ft or portion
Permi ts are non- transferable and expire r HALL ~figlf'efo~ THE WORK
if york is not started vi thin 180)aay1iIZED UNDE.~!"I)I~!i,ae,'-I;~;r'plc.H,q.''l7' or
of issuance or if york is suspended,,for'ED OR S Hod_ula.rDvelling
180 days, vVIVI,vll:N\,; I :s~~,iI:j12elror:='Feeder
ANY 180 DAY PERIOD,
2. CONTRACTOR INSTALLATION ONLY~,B. Services or Feeders
<- ~t /~ Installation, Alterations
Electrical Contractor ,)" r( S or Relocation:
Address 3/? D // Ja.-:- T ,/);'-vk 200 amps or less
~ 201 amps to 400 amps
Ci ty -:/~ A. Phone 39"/ g:--Y2?J 401 amps to 600 amps
- V // 601 amps to 1000 amps
Supervisor License Number '-7 r 05 Over 1000 ampslvolts
~ Reconnect Only
Expiration Date / I) .- v~'l RS
-
Constr Contr. Number d- 0 f"V C
Expiration Date /0,-C/-99
~t~ Supervi ng l'::iciari ___
V '
o:ers Name /i;{;A-~ f}lll/lf
Ow.-.-J L/
Phone 7'f'i ,.rlel
Address <}t> q
Cit~ s,{)p-I
;
O\INER INSTALLATION
The installation is being made on E.
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
-----------------7;-------------------~, 5.
DATE: 1/0' 11r /J <'_
RECEIPT 11: 'JJ ~L- t.l.tl/
RECEIVED BY: 1-// I,./uw./"
It ems
Sum
8'S~
Cost
I
$ 85.00
'Z.
'30
$ 15.00
,$ 4b.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Re~ocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lightin~
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/I S l.P
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L'-IS-
124.2-0