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HomeMy WebLinkAboutPermit Electrical 1999-2-2 Oct-19-9B 03:55P cf' '.' . P.02 . . ,_'. ' au04delal a41 :aloN) 'Jelua:J a41 ! HI::; PERMIT SHALL EXPIRE IF THE WORKq SalnJ a4110 sa!do:J U!lllqo AIlW /\UTHORIZED UNDER THIS PERMIT I" NOTLOO-l96 k:fv'0 46noJ41 0~00-~00-l96l:l1;f0 U! 'Y,'. ',':'!'~'" .., _ ~ 4jJollas aJIl SelnJ aS041'JelUeo UO!IIl:J!I!lON ~.._IA'\I, ,.,,,,-D OR IS AI3MDOI~E:D FOR AI!mn u06aJO a41 Aq paldopll SalnJ MOIlOI ".;.225. FIFTH'i-$l+iI\~ 01 nOA saJ!nbaJ Mill ~O:tJtltlI~ PERMIT APPLICATION SPRINGFIELD, OREGON 9747'l :r-0\O\,S0 Q INSPECTION REQUEST: 726-3769 6\\0S~\01'6 Ci ty Job Number <;? D <S 3 ~ OFFICE: 726-3759 ~'Oi-~~90C\\' \0SS o.~\10 3. liP E Ff;E SCBEDULE BELO\< 1. LOCATION O~' INSTALI.ATION~910\0CI'O\ 10 ",'1 o-u G:-f.)+e.....w~\I'A600S ~\\0~iI~, .~. ,,/ LEGAl. DESCRIPTION 1-ol'~<o.'<>\ 1-0~1'~ l"l 0 ~~). 00 ,.,:s.'~;}.OD ,.~ /" ,<>" 0",\0 6 ""~'-' iSJ".0 ~v\'(\o , ) , JOB DESCRIPTION ~ .-r......d-S Permits are non-transferable and expire if york is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Blec trical Con trac tor-Llr.u (LV1/ Address City Phone Supel'visor l.icensC! Number Jt3J...ll',S-:I:G- Expiration Date J~ -/~U<; Cons t r Con t l". Numbel' II U '7'54 Expiration Dat~ Si&nnture of Supervising Electrician f $I~ Oyners Nanle {,..lobtU. 'c AwI\1f1.~ Address '7L!Lls ltio-" ;0'1 Q<:t N Ci ty R-ku_fl(C. Phone q~7- <;?c;q D , nO_"-__J. '171(.70 OWNER INSTALI.ATI0N Th~ insl~llaliun is being made on E. property I own which is ~ot intended for sale, lC~le or rent. Oyners Signatul"c: 21,1c;tj ...... DATg~-----~~q-----~3":~~.-~--- 5. ~M... ..... ~. 03'-757 ~l :>-t -<W New sidential-Single or ti-Family per dyelling uni t. Service Included: , AT r ENTION:Oregon la""'{~J;l~lres YP-tt,Mi: follow rules adopted by !he Oregon (:lmllY 1000'tiliq~tf<tr1 C8f1tEl.reUose rules ar~ slll;f~ EachO.M1lfi!t4-llflAllQl6Qhruu\jl, OAR 9S'.t.MY- sql09f1t VOlt '1!>~'t~li!b1\n copies of the rules by I he lOOd if1g the center, (Note: the tel~t':e\1~o EacltllHahlllfftdtll\1)li/ee~ UIIIIIY I~otlfication Modula r . \l:Y:e!EUng-8QO-332-2344), Service or Feeder $ 40.00 .B. Services or Feeders Installation, Alterations Ol- Relocation: Sum 200 amps or less S 50.00 201 amps)T9C,OO amps $ 60.00 401 amjl~C'\o",,~.OQ .\l1~pS $100.00 601 limps "to..mOOllain'psE)(P/QI: IFS:lJ.9 i'\QQ" Over 1000.:,ampstjvo1 ts _... $300. OO,K Rcconnec t Onry . Imul:R "'hJ r'EfSvl:4'O,~OO)T , . "'.! ~lFl IS 1\8ANDONED FO Temporary, S(!rYlc~~Jrq~ Feeders R Installation, Alteration or Relocation C. 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 S 80.00 see "/l" above New, Alteri!tion or Extension Per Panel .' One Circuit Each Additional Chcui I or yi th Servicl,.." or Feeder fllrmit .....ii::l Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightinl!-'-"- Limited Energy/Res Limi ted Energy/Comm SUBTOTAL 01' ABOVE 5% State Surcharge ,~ ^~~ini~tr~ti"Q PQO S 35.00 ~. ' t. $ 2.00. f%,"'" not included) $ S $ S Cj'3,- +r.s- 40.00 40.00 20.00 36.00 / 07J . 4J/. -:1 '1...