HomeMy WebLinkAboutPermit Electrical 1999-3-22
Nov-12-9a 09:57A
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Date '3 -rl.~ -<;q /" Il::N IIUN;ure;,o I ' .
. It.%~.. 'ul " n aw reqUires you to
Authorized SIgnature _kl.1.l6tifir.'!tiQ/1~~~~~:.,"d by the Oregon Utility ,
in OAR 952-0 - Those rules are set forth
225 FIPTH STREET0090. YO'L'11 01-~01? through OAR 952_001}lI.Ect1UCAL PEIUIIT APPLICATION
SPRINGFIELD, OREGONa"I?,-5,7.1 ayo tamcoPiesofther I U'/.loll ? C!
INSPECTION REOUES?;' 'j26t!'f7~1ter. (Note: the telephu es bYCily Job Numbc< '/7 U .:> ()
OFFICE' 726-3759' urn ertorthe Oregon UtT one
. Center is 1_800_33~~2tY3~~.tlfirooim.ETE FEE SCHEDULE BELOII
1. LOCATION OJ, INSTAl.LATION ....),
~Lh?~ 6J~LV~ A. New Residential-Single 0<
" Multi-Family per dwelling unit.
, ~AL DESCRIPTION Service Included:
/10 j k-l.. 7.-0 Ol'/Of> Items Cost Sum
::< JOB DESCRIPTION , (l.
v fJUtl!J.LW /p PdrflIJ1 (i/lanfjkL
Permits are non-transferable and expire
if work is not started witbin 180 days
of issuance or if work is suspended for
1BO days,
1000 sq,ft. or less
Each addi tional 500
sq. ft or portion
thereof
Each Hanuf'd Hemc or
Modular Dwelling
Service or Feeder
$ 65.00
S 15,00
S 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
. Installation, Alterations
Electdcal Contracton..I"J flLLfJuo or Relocatiool
Addl'ess PO.,&y: "l13 200 amps or less $ 50.00
.1_ 201 amps to 400 amps $ 60,00
City 4tbfLYL<j",ffll Phone[r.;;4/) q;;,g,,?b'?5' 401 amps to 600 amps $100.00
Mf'\TICE' 601 amps to 1000 amps $130.00
SUp€rvt~nr License Number .3~ 5J.S .' , . pver 1029 ,'!.Il)P;j/~Al.tsvcn!, $300.00
.' .. ;,r:RMI1R~I!:~M.ec~tPlm1Y- Ine v.... $ 40.00
EKplration Date 10-1-(0 _. '''!:DTI-l'!::Pl=flMITISNOT
)C\"ZE'Teln'Pol'arY'SIl'rl/1CCS or F""ders
Cons tr Cnn tr. Number :J.:A -,JG rill\.{ ,I,\st~I'laS,i.p,l!Oti!'J,\ter:a~ion or Reloca t ion
Expiration Date /O-,..q1 "'''Y1BOOA200~ralii',rs''or less $ 40.00
201 amps to 400 amps $ ~s.OO -----
Signature OfrF,~Sing Electrician Over 401 to 600 amps S 80.00 ~
~, y. Over 600 amps or 1000 volts see "B" ,,~
D. Brancb Circuits
Owners Name .:srEvc S!'1Kfl6rac.H i
Address :J.0'73 tJf.Lrr}tjJ.I..0 s..-f ~ ~f/
v
City ~njfill-tU Phone 1:2.(" .Cifi,,(,
OVNER INS1'ALLATION
The installation is being made on
property I own IIhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~--3~-;7f!------------------------
RECEIPT "._ r) 'B2~"" ~ /
, RECEIVED BY: AJ t.../o./
NOU-12-1998 10:00
"
New, Alteration or Extension Par Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline l.lglllinll
Limited Energy/Res
Lfmitod Energy/Comm
One Circul t
Eacb Addi tional
Circuit or vith Service
or Peedor Permit ~
E.
5.
sUBTOTAl. OF ABOVE
Sr. Stat~ Surchnr"e
3r. Administraliv~ FeQ
TOTAL
I
$ 35.00 .3500
$ Z.OO t-/.co
not included)
S 40,00
$ 40.00
$ 20.00
$ 36.00
,39.00
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