HomeMy WebLinkAboutPermit Electrical 1999-2-17
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ATIENTION:Oregon law requires you to
lollow rules adopted by the Oregon Utility
Notification Center. Thnu:.v~Ahl f~ APPLICATION
!n OAR 952-001-0010 through OAR 952-001- q
0090. You may obtain~tlfesl!lPttN}II'!.~M >,;, q ();<, II
calling the cente~. L~Qtq;~~e ~OOBIreE ~ELO;
number40r ttre>&e-gOff Llimf)1 ~'1Stttrcallon
1. ~~?J~ OP ~;~~T;r:N -> ~LJ ~ mt's~'Vt,P,Pi:~mtl:Single or
/=:f . ~ulti-ramily pe~ dvelling unit.
~GAL 'DESCRIPTION ~~ 5ervice Included:
J(,( 0';" Oe:., ,}, / ()7~'i. Items
JOB DESCRIPTION i'[ 1000 sq. ft. or less
t/,c..., '''''/1747 !; ~ ::ach additional 500
, . ~'S" '~sq.ftOrportion
Permits a~G non-transferable and e~i~~ thQreof
if york is not started yithin 180 d8i~~ ach Manuf'd Kome.or
of issuance or if york is suspende~ ~OL.J.t ~ Modular 'Dwelling
180 days. ~~ .~ ~Servlce or Feeder
Q !fO CIJ
2. CONTRACTOR INSTALLATION ONLY i ~ -' i:l B ~ervices or Feeders
= ail! .anstallation, Alterations
Electric"l Contractor Able Electric~.~ ~ <D ~r Relocation.
t:~l~ ~~
200 amps or less
201 amps to 400 amps, '
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts -----
RQconnQct Only
110:J O,:~!0(1N\l8T1 81 tlCl JXlN3\':::'.'1
lON SlllV<J1:l3d SIHll:l30Nn 03ZII:lOHlm/
>lI:lOM 3Hl :l131:lIdX311\fH8 liV<J1:l3d 81Hl
225 FUTB STREET :=I~IION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Address 5511 MAIN
Ci ty. SPRINGFIELD
Phone 726-6701
Supervisor License Number
3023S
Expiration Date 10/01/00
Constr Contr. Numbn 92506
ExpiL'ation Date 7/16/99
Cost
Sum
'S !l:l.00
S 15.00
$ 40.00
$ 50.00
$60.00
S100,OO
$130.00
$300.00
$ "0.00
C. Temporary Services or Feeders
.Ins tallat ion . Alteration or Relocation
Siinature of Supervising
/A~:f
Electrician
;'
OWners Name ,t?F'''''/CE' ?V".s#;,~ 70,1'/'
Address Ji'Y J 7' qo?t.--;7
City 5,/L() Phone 7fLG/yif'
'OVNER INSTALLATION
The installation is being made on
property I own wpich is not intended,
for ~alp.. lease or rent.
Ovners'Signature:
DATE: ~:.. /7- CJ<J.
RECEl I'T II:
RECEIVED BY: 7:4 )
"'7~'-6l-f
200 amps' '0. less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vorts
D.
Branch Circuits
$ 40.00
$ 55.00
$ BO.OO
see "B"
above
.'
New, Alteration or Extension Per Panel
OnG Circuit / $ 35.00 J S'j?il
Each Additional
Circuit or yith Service
or Feeder ~ermit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTA~ OF ABOVE
5% State Surcharge
3% Administrative F~Q
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
35',0,:)
/75
Co:>
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