HomeMy WebLinkAboutPermit Electrical 1999-3-10
zoning, and dOQS not require specific land use ATTENT'
approval. r, ", . fOlio OI'l:(.Jrego~ I
L-- ............. W rUles d " aw req
Zoning olIetificar a OPted by th Ulres YOu to
Date 3 - \ b - '1 "'\ in "'''IR 9~; Center, Thos e Oregon Utility
L.>, \ 0090 Y. -001-0010 th e rUles are SAt.i9.;t-l;
Auth<l!lZ~ P!IlF!llll"e::~ J:~c ~ I cali, au may Obtain rOugh OAR EbE~JiCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 0, mg the center COPies of the ~~1" 01- a '
INSPECTION REQUEST: 726_37gfj1ber far the Or~ (Note: the tele!f.?/-f '?Job Number -/ltJ s z..lf A
OFFICE: 726-3759 Centeri gon Utility No 'f'~ o~e '*
s l-aOOJa32,r;;Q!!if!!i.lfF.flCFEE SCIIEDULE BE LOll
l,..,L/LOCATION OF HjSTALLA'li.ON
',5 /S (/1010(,1'1 Sf'. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,
LEGAL DESCRIPTION
/11fz V~ / 067cJO
I /"' . ,4,JOB DESJORIPTION
'-, ltC\), , to f
(;o,s
""C)"Vl"l(~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. '
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. ,Services or Feeders
C()A'\' ) /fL /1 N Instatr~.~i~p'~IAlterRa.ti~~~EWORK
Electrical ContractorKU'-U v-<llCZl..\ereC. or RelocaTt'l'on".LEXt'I-li=1
n ,() ':)Q "l.r.{ - , " ..~, "'roC'''' 'THIS PERMIT IS NOT
Address ";OdO ()X' ljUYl"--" ,200 amps' or less ^Io' " ,-~ r:m$ 50.00
/" D ~.9I-'c'30/201 amps to 400 ampsJv"--' $ 60.00
Ci ty "t:~ el/t.lZ.. Phone Og<;." 't,Q}y l'mPijA,t9)E~QP,r:amps $100.00
" 601 amps to 1000 amps $130.00
SupeL'visor License Number ~ () c;- 5 Over 1000 amps/volts $300.00
,/ Reconnect Only $ 40.00
Expiration Date /0/01
f
Constr Contr. Number
95~/O
/ / CJI
Signa~ure of Supervising Electrician
(-{ W~ /t~3ilr
0:er~~~4)eJlo\l v
Address '3 'f 1\ )n~ / jI/
Ci ty \I?IJ.~(~ Phone
OIlNER INSTALLATION
Expiration Date
The installation is being made on
property I owp. which is not intended
for sale, lease or rent,
Ovners Signature:
-------------~------------------------
DATE:' '7./'ul"'I
RECEIPT B:l tJ'>J /I '>. ' I
RECEIVED BY: "j' IN/~
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
$ 40.00
$ 55.00
$ 80.00
vol ts see "Btl
above '
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci rcuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
I
l '5 .....
$ 35.00, )
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
3f:w
I, 7\'
i , CIS
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