HomeMy WebLinkAboutPermit Electrical 1999-7-14
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Data '7~ PI- "'..,
Authorizad Signature ~~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
IITTENTION:Oregor, ,a,v I "'ctUlres YOu'"
, follow rules adopted by the Oregon Utility
Notitication Center. Those rules are set forti"
:" :::r,R 952-001-0010 through OAR 952-001-
9':'90. You may obtain copies 01 tile rulEI:.EqrRICAL PERMIT APPLICATION
97477 C.2m"g the cemer. (Note: the tele.e.non~ tA'c,() h l//
726n~~6JertortheOregonUtiiityNotI1lCa~~I~y Job Number I'll ('7
Center is 1-S00-23'~.2~'tilJPLETE FEE SCHEDULE BELO\l
1.
LOCATION OF INSTALLATION
4 (, {, 7 /-1/1 j'(I.I.( I!r I:
. A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
LEGAL DESCRIPTION
f.y 02tJ1,,/}o 00007;
JOB DESCRIPTION 1000 sq.ft. or less
I,' rI1'- fill "-nl'rt(1{ 1\I0TIr.F;' Each addi tional. 500
, c: PFI'lMITSHALL E\Il.llf'lE~AE IJIlBfiWon
Permits are non-transferable a1MI~~I~~ '1n~ NOT
if vork is not started vithin ABWH~sEDUNDE~~ ~)~'HOme, or
of issuance or if vork is susPcl)~ENttDORIS~lIlE!:OiGflling
180 days. ' ERIOD ServIce or Feeder
ANY 180DAYP . '
2. CONTRACTOR INSTALLATION ONLY ,B. Services'or Feeders
Installation, Alterations
or Relocation:
Items
Elec trical Con t rac torj),-i//rr.n pl;d !r./tJ'J-J"iJnL".;,.r
Address 'P.O. 'B1),l lIO'5,,<I
City ~(lJqlnl Phone 5'-1/-t./"6,-/.Qo7'if
Supervisor License Number ~':J3 I J LE
Expiration Date
10lqq
Expiration Date
Si~
Ovners Name_//14- k IJ/ fl1
Address 5 tl J P
Ci ty ~ ~VtI
M Cc 1../ /; A/
I;IJ 7i t/. tJ,Lt !.'
t
Phone 7tft-"2..f) 7
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Owners Signature:
-----.-----.-------. --.------7!!J1-- --7J-- --
DATE: ' . 7 4 Vir
RECEI~l #: OZI./Q'l{(' /1 /
RECEIVED BY: ' w~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00 '
see "BIf above.
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ~
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t i neluded
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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