HomeMy WebLinkAboutPermit Electrical 1999-5-19
zoning, and do~s not require specific land use
approval.
Zoninr Lc. rt- I
Date :$ - I "I -';M IUTe:I'ffION:Oregon law requires YOu Ie: "
225 ~nOf'B~'S~fe +o..J '^"^'lLWIes ~dopted by the oreg[rj,~f~~AL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 Notification Center. Those rules a," '
INSPECTION REQUEST: 726_3llfj~AR952-001-0010thrOUghOA~~~~-oP.B\ Number (No '538"
OFFICE: 726-3759 0090. You may obtain copies olthe rUle~1 Y
. . calling the center.j~ot~d!lfl~hl'~E SCHEDULE BELO\!
1. LOCATION OF IN$TALLATIO!tiumberforthe Oregon Utility Notllicatlon
41IJCl I Ll-A-,I ILl rllLlh~nteris1-l\OO-:N€W23AAlidential-Single or
---I Multi-Family per dyelling unit.
LEGAL nRSCRIPT!pN.~ I ~_ Service Included:
/'1 OJ. t:J;;1 17- O;xJf> Items Cos t
$Jd(" -
$ 85.00 1:j.:>.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
Permits are non-transferable an~lfrP~i:. thereof
if york is not started yithin 1M-dll~~' Each Manuf'd Home. or
of issuance or if work is suspeifeW8ffiRMrrSHALU!!(~IFi\11e rMnf(
180 days. AUTHORIZED UNDE~TftY~PER&flT ~~&~{
2. CONTRACTOR INSTALLATION ONLfOMMENCEDiilRI~MlJ8Q/!ifrF~ders
/.' .ANY180DAYPERloostallation, Alterations
Electrical ContractorL 6F F/e(ffl(.iJ1C or Relocation:
Address 8So/L/ <)'pOl\Q~.c_J.joilrk':; Rd 200 amps or less
~ 201 amps to 400 amps
. Ci ty ":. \ ~o nQ Phone lnBY - q484- 401 amps to 600 amps
I 601 amps to 1000 amps
Supervisor License Number 4( l Y -5 Over 1000 amps/volts
Reconnecc.Only
Expiration Date ID/l /2000
,
Cons tr Con tr. Number I OC; '-\ l S
:sl :30/ 2..0()()
Signature of Supervising Electrician
__ ~('O f)~o~
,
JOB DESCRIPTION .
YlPu) ~,n o.
Expiration Date
~
'fftli ,11/
Phone 7'0- 7)(0
Owners Name --fv'LM_-l<-
Address {;:; 7 S'lA.ft
Ci ty 5M_t.J-I
/
O\INER INSTALLATION
The installation is being made on
property I oyn Yhich is not intended
for sale, lease or rent.
Ovners Signature:
----------7---/------------------------
DATE: S. f,/ 1'1
RECEIPT It:. /liJ/!Y '1 0>')40 '67
RECEIVED BY: po.{
Sum
~
$ 15.00 t3J, -
. $ 4b.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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
,"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One ~Circui t
Each Addi tional
Circuit or:with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/I ~ QJ,.-
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