HomeMy WebLinkAboutPermit Electrical 1999-5-28
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e 0 !!lI!'N!'l9lI'...8II""'<:/'fYlCrS 'Oregon 'a'" --q.'lres "0" ;" 225 FIFTH STREET
zoning, and does not require specitic I ," .;' '" U '" ,~
approval. /' C--- follow rules adopted by the Oregon Utility SPRINGFIELD, OR 97477
Zoning L- Notification Center, Those rules are set forth (541) 726.3753
6- d- '6 -'1 1 in OAR 952-001-0010 through OAR 952-001- FAX (541) 726.3689
Da7.l:J l' J.1'TI1 :>TKlIIH <J UUl1U, TOU may obtain copies 01 the ruleEmCTRICAL PERMIT APPLICATION
AulSPimlGllllEIID\ QRE!;;~7 4 ~lIiRg the center, (Note: the telephone Ot::; '2 'D
INSPECTION REQUEST: 726tltiM9fortheOregonUtilityNolificaliGity Job Number 7 /'tJO .:> 4
OFFICE: 726-3759 Center is 1-800-332-2344).
3, COMPLETE FEE SCHEDULE BELOY
1.
LOCATION OF ~STM-LATION
-3 LIto :3 tiif.1Z/rn-
~ DESCRIPTION
f7 () '] 2- 2. 2-0 00 'PD.5
JOB DESCRIPTION /
Ou:t')Afb ~j2/h~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
,.180 days.
2,
CONTRACTOR INSTALLATION ONLY
Supervisor License Number
Expiration Date
~g~
Constr Contr, Number ~~~
Expiration Date
~ -30 -&fer
0'ilNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~==-=~~~;f1~--------------------
"",,,..H'T 11: _ ,1 O}" 'J-.l.{ "f
RECEIVED BY: IJI I.-J-..Y
A.
New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items Cos t
Sum
1000 sq.ft. or less
Each additional 500
. f!(4)TftwJ: portion
~~~. $ 15,00
ftW'~~J;,~W:ixl!fRE IF THE WORK
C_~roc or ~l!eaefH/S effiMEri&Sr.i69" 00
ED OR IS ABANDON
B. -YE!r"41e&\\OjDE~p..ers ED FOR
Installation~"~~terations
~ ContractorU,<l'~'14 jct.ul.u:~ I~ or Relocation:
I
Address./.!l.!..~'>' Sw b~ ffi, 200 amps or less
t?72- 971'';0 201 amps to 400 amps
Ci ty 5/wun7J:Z!:d - Phone <:;l)3-t>~-2:,760 401 amps to 600 amps
^;;l.bJ-7 601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 50.00
$ 60,00
$100,00
$130,00.
$300,00
$ 40.00
C, Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Signature of Supervising Bl~~,~:w:~'
4d7C 7J-1. 7&d'L"e.c..
Owners Name <;; yCA-- 15
Address 3%5 6..,.10(., t/ICN fI\
City q" {!/ Phone' 1'ft- f/f'l~~"""V
I
$ 40,00
$ 55,00
$ 80,00
see "Bn above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ '2.00
E, Miscellaneous (Service/feeder not' included)
-Each installation
Pump or irrigation I $ 40.00 LfO~'
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
IOd I/o If -' tr".. tI.
5, SUBTOTAL OF ABOVE i-f9~
5% State Surcharge <2 =
3% Administrative Fee IIDt~
TOTAL 4'..3 ,c9-h