HomeMy WebLinkAboutPermit Electrical 1999-1-20
ATTENTION:Oregon Ia\\ I6CjlJlf&S you ,
, ro'ect es submitted has the followln9,fo!'?w ~ules adopted by the Oregon Utility
The.foIlOW,~gcioe~ not require specific land use !"otlflcatlon Center. Those rules are set forth
z~~~~~a~~'" I t'-.(L InOAR952-001-0010throughOAR~~~_y
a "z 2:/.5 FIFTB STREET"-U ('I'QO. You may obtain copies of the tatesbyCAL PElUlIT APPLICATION
.ff '!lm""Uc.w, ul\.EGON 97477 calling the center. (Note. the telenMru:. a"a 00 7 ~
~_ nl'a)~"""Yf'''' MlQIfS5'f. m-~o~1b '. . .'"ny Job Number I"( /
Oat 0 PICE: 726-3759 d.,..), erforthe.OregonUtllityNOltflcation
Authorized ~gnafure Center IS 1-80Ql-332~TE FEE SCHEDllLE BELO\l
1. LOCATION OP INSTALLATION
h.2..5'" 1#'- FA/A: Mt?/t!"V
Nev Residential-Single or
Multi-Family pe~ dwelling unit.
Service Included:
A.
LEGAL 'DESCRIPTION
'"10"3 ').. '1 "(-'l... t}2. '2,; 0
JOB DESCRIPTION
f Fh..t./ / t= ~ ?'.K tr""' "OEL--
Sum
Cost
Items
/S 1l:l.00 YJ'.eJeJ
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Kome, or
Modular 'Dvelling
Service or Feeder
S 15.00
Permits are non-transferable and o~pirQ
if york is not started vithin 180 days
of issuance or if york is suspended for
IBO days.
2. CONTRACTOR INSTALLATION ONLY
S 40.00
B. Services or Feeders
Installation, Alterations
or Rcloentionf
Electric"l Contr"ctor Able Electric
Address 5511 MAIN
S 50.00
$60.00
S100.00
$130.00
$:100.00
S 40.00
200 amps or less
201 amps to 400 amps, .
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
ReconnQct Only
City~PRINGFIELD Phone 726-6701
Supervisor License Number 30235
Expiration Date
1 n{Q1/qq
.1......IC~
..v ,,,, C. Temporary Services or Feeders
Cons tr Con t r. Number 92506 Tl-llt' P>=R~!IT SHALL eA!l~~ilJ.Fli'l~!:ql;iQPI.(l tera t ion or Reloca t ion
Expintion Date 7/16/99 AUTHORIZED UNDER 20e'-; ~ffi~~~~bt'3 iJQls $ 40.00
. . IX1WJFNCED OR IS AAQ,lJ(~!"p,sJ ~'2JF~OO amps $ 5S. 00
Sianature of SupervlSlni Electrlcian Over 401 to 600 amp~ S 80.00
ANY 180 DAY PERIOI'Over 600 amps or 1000 vo.1ts see "B" above
A c7"7/" ~.
/"? ~ A.../ /U
OVners Name j"Ar'1OS ,/1-
....
fl".
/... ,
/-/,..0,1>"7 M()P5
Branch Circuits
D.
..
Nev, Alteration or Extension Per Panel
Address b.J5" V;:;",,-r: G~/('" /,?p
Ci ty PI?<. /1'./;""" o/l...Phon~3 (- ;rJ'~9
'O\INER INSTALLATION
$ 35.00
Ono Circuit
Each Additional
Circuit or vith Service
or Feeder permit
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on E.
property I own vhich is not intended.
for ~ale. leasp or rpnt.
$ 40.00
S 40.00
$ 20.00
$ 36.00
75"() 0
Ovners Signature:
~ATE7---------~~~;)Te11---------------- 5.
RECEIPT II: .''J ~,-:-.'; tJ?2t.d <f
RECEIVED BY: hV vv ~jl
SUBTOTAL OF ABOVE
5% State Surcharge
3% Admini$trative FeQ
TOTAL
Y;JV
2-.J.f
9/.Yf
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