HomeMy WebLinkAboutPermit Electrical 1999-4-5
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225 FIFTII STREET ."[nOnZ60 Signalure
SPRINGFELD, OREGON 97477
INSPECTII)N REQ(jEST: 726-3769 ATTENTION:Oregon law req&;~:~.yy()to.Q, Number
OFFICE: 726-3759 follow rules adoRted bv the Oreoon Utilitv
I Notification Cent6~. 'ThG~q,Hf'J.fHrJItft f8RflEDULE BELOII
1. ILQCATION OF N;lTALLATION in~Q52-001-0n1 0 tb'ough O.A.R 95?-.001- ,
_ ~ ~ I I?' !10N-IfJl! "''', " . A,.. ~e~ )\epden n..I-Slngle or
- - - -,' -. ...ay olildm 'MJlI'~" uF"'". ~II"S uv d 11' .
. u ,1- aml y per Io'e Ing unl t.
callmg the center. ("S'4't'vj1~~elfRcIU'aed:
number for the Oregon utility Notlllcatlon Items Cos t
;:;,,, [., is, 1-800-332-2344).
1000 sq.ft. or less
Each additional 500
,sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DIo'elling
Service or Feeder
nA.te
LEGA~ DESCRIPTION
17()'52(,Z3 t):z.~O(
. ,JOB I)f:SCRIP.1ION f
'1 /5IViM/l CIIlC.t.1 'f
Permits are non-transferable and expire
if Io'ork Is not started Io'ithin 160 days
of issuance or if Io'ork is suspended ior
160 days.
2.
CONT3,ACTOR INSTALLATION ONLY
Address
4065 W. 11th, #18
Ci ty
Euqene
Supervis.,r License Number
Expirati0n Date 10/1/01
Constr ~)ntr. Number 104929
Expirathn Date
3/14/00
Signatur~~~trician
Olo'ners N"J~/.jS~UII'J S"'-,~
Address /U 'JQ 'I j. b Olf//S/~ J/
City /lJf..II~
Phone
OVNER INSTALLATION
The installation is being made on
property I Olo'n Io'hich is not intended
for sale, lease or rent.
Ovners Signature:
-----------T~-------------------------
DATE: '-I!!, 'f! /?
RECEIPT ~: ;f 5 ~ .3 f/'J I / /
RECEIVED BY: t..Y tJ#
ELECTRICAL PERMIT APPLICATION
'11tJS/7
Sum
$ 65.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
S300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps o~ 1000 volts
D.
Branch Circuits
I\I"Y/CI!!" Services or Feeders
. . Installation, Alterations
E1ectric.ll Con trac tor JB Electric, Inc:'':RMITSb1AlJ!"ee;~Il1E~P'THE WORK
. "~[""n , Il\ln~"" T~IS 01::01, I
'. 200- amps or-. ,/eHS .'-:OT
. 201 amps,,:-:rn,,4QO. amps
.. _\Ji'llC\' bvn
Phone 687-S770,." 16(11:11\. I<A8~0i'!mllS to. 60 amps
, GuT amps to 1000 amps
38725 Over 1000 amps/volts -----
Reconnect Only
$ 40.00
$ 55.00
$ 60.00
see "B"" above
.'
Nelo', Alteration or E~tension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res .
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or Io'ith Servic~
or Feeder Permit ?
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35:00
3S--
$ 2.00
(,
not included)
$ 40.00
$ 40.00
S 20.00
$ 36.00
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