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HomeMy WebLinkAboutPermit Electrical 1999-2-17 it.:."'... "!"A\!' 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:> -J-.'7.A' () rr:B,YX!1:'12,(;,:;:i:~fH.:J';::'~~~'[;~~i~~~.:.;::r.;m$:,t0~~;J,~,!{;"Jf:;~&~4!<;'~-.'::;:";i:$If-d$;~$Dr2:.%JJ"~]~m~~~i:::::^",:,;.:;,;:~~<::iJ{:;.?E:~;:~:':':;~~i.'}'.J.7~:~S~~:'D;.~'7~Zw*"W:r:!:~ :::,xmi:'f.:m"";:N~r~13;.m<~~T~~'ffii:tJ