HomeMy WebLinkAboutPermit Electrical 1999-6-11
The following proJec as su
zoning, and does not require specific Jand use
approval. 11 ./
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i<"WlZfJ:f;!;l1at~'j;REET ~ ') I EI'I IV ELECTRICAL PERKIT APPLICATION
SPRINGFiELD, OREGON 97477 ...., I l\j.v'~t"
INSPECTION REQUEST: 726_3~!QJI?W~UlesadoPteOoy", _.c~CitylllJob Number 9'11)677
OFFICE: 726-3759 '6fiflcaliDn Center. Thos:; :ule~ a,e setlortt.
in OAR 952-o01-001C3I;lrolCOMPBETEi:FER1.SCHEDULE BELOV
1. LOCATION OF IN;nLATI6R90:~U"Y2Y obtain copies of th.e r.Ules by
3'07 Ma:r'H V 'ltf ~~~center.~\lot€NIiWJtRe!J.i-!teJ:lJtial-Single or
numoefTorrneOregon UI1!l1Y~IlM!:tie)\ per dwelling uni t.
LEGAL DESCRIPTION Center is 1-800.3~!344J!! Included,
/fD 2.,,(,/1/ 01'1(0) . Items Cost
JOB DESCRIPTION
." G>../1 /JtI IP!k>..
r I
Permits are non-transferable and expire
if work is not started within 180.days
of issuance or if work is suspended for
180 days.
1000 sQ.ft. or less
Each additional 500
SQ. ft or portion
thereof
Each Hanuf'd Home. or
Hodular.Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
~ Installation, Alterations
Electrical Contractor..wTI~I=./ . or Relocation,
Address THIS~ITSHALLEXPIREIF1WW{!l\I!Il! or less
iW'I"HORIZEDUNDERTHisPER~9,lI<A~~ to 400 amps
Ci ty ,-PePllIi\ .~. ,..,~" C'.n ., '/'i'O'1 "'a1l1'\:is to. 600 amps
. /' VIVII\fftl'l..,~.. Vi d",~ANDONEQ1IDlamps to 1000 amps
Supervisor Licen~ Numi\~lf180DAYPERIOD Over 1000 amps/volts
~ Reconnect Only
Expiration Date
Constr c~r, Number
. Ex)>.~ion Date
~ignature of Supervising Electrician
Owners Name_hI/hi I"AA6!'tzt.u,f;....
Address 90 rf f I!W1 f'?
City 4/A4. Ph~ne ~lr...I.It3i)
OVNER INSTtlJ.ii<>N
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
ffiA AA 'u, \jj~ ^ -
, I -i-
DAT~{ ~jj,;rff-----------~?'J ---------
RECEIPT 11:. /),jf-('-(Z L/ (J Y ;
RECEIVED BY: ""f W I'v"
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
I U{)....
200 amps' 'OT less $ 40.00 T'
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
C.
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignJOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE - -~o Cb
57. State Surcharge z. ao
37. Administrative Fee I. z..c>
TOTAL t.{ r, u.
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit