HomeMy WebLinkAboutPermit Electrical 1998-10-16
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ATTENTION:Oregon law requires you to
fO~I?w ~ules adopted by the Oregon Utility
Notification Center. Those rules are set forth .~'
in OAR 952-001-001 0 through OAR 952-001- Aut Slslnanue' .
0090. You may obtain copies of the rules b ~
225 FIFT.E1 STREET callin,g the center (N t . th I . ~LECTRICAL PERMIT AP L CATION
SPRINGFIELD OREGON fP.{4,~e[ . 0 e. e te ephone . - /
INSPECTION ReQUEST: /21;"- ~fpIAhe. Oregon Utility Notification City Job Number r~,'f T<l 1<6/01'1
OFFICE: 726-3759 t'e'nter.s 1-800-332-2344).
3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INST.ALjATION
977 ~.a.u'/ ~r. A.
LEj::H DESCll-IPTIO~ 17u)Y-I11 /~/~oV
L.9t- /0 L/f.,....~ SJ 1/; IhSro/
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JOB DESCRIPTION /';\
2a?~~~(ftwfi_)
Permits are non-transferable and expire
{f work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Cont.ractor~d7:>?'.d&'d~
Address ?eJJR....Rd'c....L4..,'.aF
Ci ty/~~I"'1r Phone!5-<r'/) CZ97-J&s7
Supervi.~'nr License Number -:r>93/-S
Expiration Date /f')-1-9R
New Residential-SIngle or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00 tj().(/'V
$ 50.00 J-j)
$ 60.00
$100.00
$130.00
$300.00
S 40.00
Cons tr Con t r. Number. .:zo~ rV.0 -r"
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date !O-/-<J?' NCTlr~ 200 amps"oT less
Signature of Su~ Electr+~~ERMITSHAL~~tTHf~~~~~
J;i?:v ~r:('.. ./ AUTHORIZED UNDEI\VfH1S~Mlifps NGT 1000 volts
, -1 COMMt:N0ED flfll~~@OM=Pcm~s
Owners ~Iame I//~ :$"&;;qSLv..'^"v <QI\ nAY PERIOD.
Address .No ~ .:i!? d~ New, Alteration or Extension Per Panel
/ One Circuit
City~~cr- Phone ~~~~ Each Additional
Circuit or with Service
or Feeder Permit
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
O;mfu.~,~:
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--------.------Ti-.7---------------------
DATE: q /7/ '1r .
RECEIPT 11: (') 7./JI "-'I (I
RECEIVE[) BY: M uv~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
S 55.00
$ 80.00
see liB"
above
"
$ 35.00
$
2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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