HomeMy WebLinkAboutPermit Electrical 1999-8-5
Jul-14-99 09:l9A
P.Ol
The
zoning. an
approval. {L--
Zoning LD . '. .
"6' ~'!:'" -"i, '" ATIEI\lllul~:\JI"l>ulllaw 'dqulle:; yOU. ~\J
Dale . IOlIow rules adopted by the Oregon Utility .
AUlhorize,US ,.....u lrnW"" 'lGL.0 "otification Center. Those rules 2E~ffita:'&r. PiUUlIT APPLICA~O
Sl'amGFmLD. OIlECON 97 417i~ OAR 952-001-001 0 through OAR 95t!-U~1- AnD
INSPECTION REQUEST I 726-e~. You may obtain copies oftlH.'(yIIlJOUYNWlIber V\-'\ <
OPFICE: 726-3759 callin the center. ~Note: the telephone
1 0 STAL TIO b r or the Ore~on \%\!{~~il!'JUQ,!iCIIEDULE IlELOII
;....~~ ( ~Yb ~ e . PA10-~6,;~~ti\'denlial-Single or
- Multi-Family por dwelling unit.
Service Included:
Il)m~~oN/Y)~)
/' _ JOB DES~PTION
:;,c-7/..Ua ~Q
Permits are non-transferable end expiro
if vork is not started vithin ISO.days
of issuance or if vork is suspended for
180 days,
Z. -.-y,..MercK INSTALUTIClN ONLY
Electrical COntrac torAlert Electric.,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Ovelling
Service or Feeder
.11. Servieas or Feeders
Installation. Alterations
Inc .or .Relocation:
Items
Cest
Sum
S 85.00
S 15.00
. $ 40.00
Address 1970 28th St NOT'C~' . 200 amps or less I
. -Ie:: '201 amps to 400 amps ~
City Sorinafield . Phone 'TPj~Iji1t;rSHALLEX~81f"llfi~l?/,6P.O, amps I
110RIZEDUNDERT~.o.1 ~s 'tov'il:lljo amps
Supervisor License Number Cd~MCr'--- OJVertt()'dlr~o1ts
.....<;uvR/SAB.4l/IlOOW!8~Aiy .
Expiration Date lO-Ol-AN.V111nnIlVI:lER/nn..'
~ Temporary Services or Feeders
CoMtr COntr. NUllber 2055C Installation, Altoration or Relocation
Expiration Date S-22-01 200 amps"o. less $ 40.00
201 alllps to 400 amps $ 5:1.00 -
Over 401 to 600 amps $ eo.oo -
Over 600 alllps or 10Q0 VOlts see "S" above
Clt)'
Phone
INSTllUTION
The installation is being mada on
property I own vhi~h is not intended
for sale. lease or rent.
Ovncrc Signature:
~~~~~-~r/f!77--~~~~;~~~-:a.~ll
IlZCElVEO IIY: ._ __ .'
Branch Cir~uits
$ SO.OO
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c:;o .--
..J2L
100. -
.'
Nev, Alteration or Extension Per Panel
$ 35.00
~
One Circuit
Bach AddU iODal
Circuit or vith Service
or Feeder Pe~it ~
$ 2.00 ~O;--
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/CollM
E.
5.
SUDTO'l'AL OF ABOVE
'l'bStnlc SurcharGe
3% Ad.i1nhlrativc Fcc
TOTAL
S 40.00 _
$ 40.00 ~
S 20.00 _
S 36.00 __
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