HomeMy WebLinkAboutPermit Electrical 1999-4-1
Al I t:N IIUI'l;l.Un:.;'d\JlIla~W I'-'''''l''''' '"'1>J....-
iollow rules adopted by the Oregon Utility
Notification Center. Those rules are set forth
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by
225 FIFTH STREh'Talling the center. (Note: the telephone
SPRINGFIELD, OREGON,r97'4t717: Oregon Utility Notification
INSPECTION REQlJEST: Cr]'26L[3'76900-332-2344).
OFPICE: 726-3759
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1. LOCATION OF INSTALLATION
'",,2/ fo/nl<Jp...J2. rk'lOF ~ASt-
M. LEGj\L ,E~CRIPTION
L -41 ~. 17 0'3 ~& ;>" 3.oJ. 301
tDi
'WIT SHALL r':PIREIFTHE ,. -,t';
,,,,,- "I~IS PERMIT I . ": .
-ELECTRICAL PERHITJlAPiiiJl!CATION
,.. "ci'!:y- 'jobEC~ier q ~ (') 3 ( ~
3. COMPLETE FEE SCHEDULE BELO\l
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
g ~OB DESCRI~~9P_~.' 1000 sQ.ft. or less
~1,/V1 ~;/7i~ Thofoll?~'i11~~fOI t . Each additional 500
Ie 8S submitted b= lh"" II~"" '
. lO'"n9 antl 600, not re uire s '~>r ....'~ """,,gpo r t lon
Perml ts are non-transfera~rcaad expHe q pe<:tYfulmlfB8
if york is not started within 1&Qn~~~s Each Manuf'd Home. or
of issuance or if york is suspende'a 'for "u';v::'a..~elling
180 days. Dole <:otiL.i "" or Feeder
,
.......Jlt!onzaa Signature
2. CONTRACTOR INSTALLATION ONLY IS.
.1
1
,
Electrical contracto: <;',uJ -lee. -<'tI'11..J!.<?u
AddressA,<;:<;" / q .t-)iJ /er LIfJN ,
Ci ty -C//oP.-u,b- Phone 'J 'It. -7/1 r;
I ,.
Supel-visor License Number 433 S. /"G
Expiration Date 10-/ - flq
Constr Contr. Number !?,/1 L/.;z-::z
Expiration Date ~.lh.9t!t
Signature of Supervising Electrician
<:>
? ./? LA' ~ (0 d)l.LJ (1J~
- ''it
Oyners Name ~A.-t1. C:::;o/fJ/1tZ.t;
Addressj r??-/ ~.f t?.t7A.. tZ)l,,/fI )1.1
I f I
City_ Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: -1- /- '7 '7
RECEIPT I: '3 ;p, L( y
RECEIVED BY: ~
~eLV~~~~ v~ 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
Reconnec t ' Only
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
Ney, Alteration 'or Extension Per Panel
;
. , .
His~ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One ~Ci rcui t
Each Additional .
Circuit or yith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$
$
$
$
1P/o. -
ry
I. ~o
11<<."" ~
40.00
40.00
20.00
36.00
ilt). --