HomeMy WebLinkAboutPermit Electrical 1999-7-13
A.DI\- ATTENTION:Oregon law requires you to
"7 _ ,:2,- ~~ro!!?w ~ules adopted by the Oregon Utility -
Dale, r """'''<1l1on Center. Those rules are set forth
Authoriz~~i'r~:rru 5TRflH'f ,n "AB 952-001-0010 through OAR 952-0BLECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON 9'?f4e,'q, You may obtain copies of the rules by 9
INSPECTION REQUEST: 7 ~!il7ii9'1e center. (Note: the telephone.City Job Number r Cj tJ (, q
OFPICE: 726-3759 numberforthe Oregon Utility Notification
. Center is 1-800-3323,?'l4o.l:;9MPLETE FEE SCHEDULE BELO\!
1. LOCATION OP INSTALLATION .
'f"" 7 1!&"/l!fA r/ . A. New Residential-Single or
, Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/v tl U)~tJtl ~~()()O .
1000 sq.ft. or less
Each additional,500
sq. ft or portion
Permits are non-transfera~~~~~xpire thereof
if work is not started wit!Mi.I1ll~l:lays Each Manuf'd Home. or
of issuance or if work is 1-'Hle>n:rnelPI $AJlli.EXPIR~4!\4J.:O'Q.If~lling
180 days. (:;~tlJf~~ (W\ Feeder
, AUTHORIZED UNDER THIS PERMIT IS NOT '
2. CONTRACTOR INSTALLATIltv,,,...d-JCEDORISA!lANrJti1qt:~~ or Feeders
/ .llAtYriSODA'lRl=ilfcm InstalraUon, Alterations
Electrical ContractorL €~'~~l(~' or Relocation:
Address 8501 LI <S'po{\r",.. We,lId,,;; Rd 200 amps or less
201 amps to 400 amps
, Ci ty _~\ }Q,o nQ Phone LnB4 - QY84- 401 amps to. 600 amps
I 601 amps to 1000 amps
Supervi.sor License Number 4l"1 \...j -s Ove,r 1000 amps/volts
Reconnect'Only
Expiration Date \ ()/l /20cx)
f
Constr ContI:. Numb~l- I O<;Yl 5
Expiration Date/ 75/::'0 12..0r-n
/ I '/
Signature of Supervising Electrician
___/~a [)",,^n~
Owners Name lIlatCIJlm MCEWav
Addres) J tR! 5t) '_"
L -----
City/PAwIuR.ff Phone 7"1t.- 2-f31
~ OWNER INSTALLATION
The installation is being made on,
property I own which is not intended
for sale, lease or rent.
Th
zoning, and does not require speCific land use
approval.
Zoning
JOB DESCRIPTION
S. F, 12..
r'
Owners Signature:
-----------------------~7--------------
DATE: 7//1/f1
RECEIPT *: tl~'I'l/1 '/lj //
RECEIVED BY: A.Y WW
Items
Sum
Cost
I
fr
)0
$ 85.00
7-
$ 15.00
$ 40.00
$ 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 "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation '
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One ~Circui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
71% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00 '
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
I/S-
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