HomeMy WebLinkAboutPermit Electrical 1999-2-2
Oct-19-9B 03:55P
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! 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!
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~.._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
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LEGAl. DESCRIPTION 1-ol'~<o.'<>\ 1-0~1'~
l"l 0 ~~). 00 ,.,:s.'~;}.OD ,.~
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JOB DESCRIPTION
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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
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