HomeMy WebLinkAboutPermit Electrical 1999-7-29
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Thefa oWld does not require specific Ian U ^TTENTION:uregOtll"W'" U
zOning, an M I , t d by the Oregon ;
approval, l... G> (I-/' :allow rules adop e ose rules are se
Zoning - c:; ., NotificatiOn Center. ~thrOugh OAR 952-001-
Date -. - iT-- e, - o\Gc...) In OAR 952.001-0~1 .{\ copies otthe rules by -
"ut~cfil@illlurll'tf..lOE:: :6'ilOi\yo~t~:le~te~~ tNote: thetel~~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ca In th Oregon Utility NOtIIC' C4 7
INSPECTION REQUEST: 726-376'9Umbercf~~te~iS 1_BOO-332-2344lity Job Number 19/t?J
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOY
1.
L~ATION OF INSTALLATION -
579' kAINl/'" k~\lrnlA-
LEGAL DESCRIPTION
riD 1- 0'-/1 I{
A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
02?Ob
NOTICE: ' .....,OP\(
JOB DESCRIPTION ERMITSHALLEXPlAlt.<\fsq\t:I.VU 'or less
I CIII.~., I- \HISP -rHie.t=. Sci'@1i1500
AlJTl:\ORIZl:;UUNDER ~. 6 portion
Permi ts at-e non-transferable 9-l1<J"all.~OR'SABAf1I R
if ~ork is not started ~ithiWU!'li'l'l' ClaYS-PERIOD Each Manuf'd Home, or
of issuance or if ~ork is su~1I%.QlD~1' . Modular, D~elling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorD~ Fl0UfiG
Address ~;::),?i (l Lt). IfYltl,tl-.Lv1 ~
Ci ty f (f'ELlt'1l Phone5'RS- 2L1L/O
Supervisor License Number _?lLOILi-:)
Expiration Date In-I-m
Cons tr Con tr. Number (0( offiLl
Expiration Date l-I$S-qq
Supervising Electrician
!J1,I6.' W"'/ H'"."..A.
Address ,77(, 1:'''''/_,/1
Ci ty "irfJgU Phone 7'11- 17cffo
O\INER INSTALLATION
The installation is being made on
property I o~n ~hich_is not intended,
for sale, lease or rent.
Ovoers Signature:
~
D~~E~-------~riq77~-------------------
RECEIPT >>: "tI~')() '1 'I
RECEIVED BY: It.i W,J
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
Retonnec ( 'Only
Items
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 (0 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
."
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
7/.5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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