HomeMy WebLinkAboutPermit Electrical 1999-05-17The following ; ,' , s suurnitted has tha wing
zoning, and coe:. rlor reguire specific lat. .se
ATTEN TION:Oregon taw requires you to
low rul es adopted bY
Those ru
the Orego
les are
n UtilitY
set torth EECTRICAL PERI{IT
l0through oAR952-001-CitY Job Nu.uber
coPies of the rules bY
c uti lity l?ltl't3|Ss.HPLEtE FEE scEEDt'LrE BELoItOFPICE: 726-3 alling the ce nter. (Note:the
1. IOCATION A
(fuDate+.
Authorized Stur r"t,.:;.
225 FIFTS
SPRTNGSIELD'
INSPECIION
hi
IJGAL
Permits are non-transferabl: "li expire
ii-;;;t is not started vithin 180 daYs
;; i;;";I.--o,: ii-'orrt is susPended for
180 daYs.
2. COT{TRA TOR INSTALT.ATION ONLY
JOB DESCRIPTION
Electrical Contracto r Sec {tv
Address
Ci ty e Phone 2-l ?t 1
Nev Residenlial-Single. or
il;iti:i;ilv per dve)'ring unit'
service Includedt ,,"r" Cost Sum
iacrr additional 500
Each Hanuf'd Home' or
Services or Feeders
initarration, Alterations
or Relocation:
or".-16oo-imPszvori; - t'?3:33 :-
ffll:ii:I, ff :'ii::,31' Ii"3i'i"ro"" t ion
200 amPs"or less
201 amis to 400
over 401 to 600
0ver 600 amPs or
Branch Circuits
00
.8.
c
Supervisor License Number frS 4 t"
Expiration Date IDl01/9q
Constr Contr. Numbe r5 9944
Expi ration Date
Signa ture of SuPervising Electrician
anPs
-
amps _,:__
1000 volts
$
s
s
40
55
80
00
00
00
Bll bove
/c
ll asee
Nev, Alteration or Extension Per PanelOvners
Address
iiame
i' . Pnone4Cf'*47/(Each Additional
Circuit or vith Service
or Feeder Permit
-
OVNER INSTALI,ATION
The installation is being made on
DroDerty I ovn uhich is not intended
'f or' saIL, lease or ren t '
0mers Signature:
HiscellaneouS (Service/feeder not included)
-Each installation A ,,;ffi",;"i;;i;ilfiine- iii:ii =;iili;; e;"iEiri"n.'' T s 36'00 rL
15.o_o
SuBT0TAL OF ABOVE -* )t f5)-
52 State.Sut.l?:q".^^ A
D
E.
5
$ 35.00
$ 2.00
fi n 1n/ff
I qol 1 Ci
SP iFIELO