HomeMy WebLinkAboutPermit Electrical 1999-1-25
zoning, and does not require specific land use
approval., Lv fZ..-
ZOning
Date 1- J.-S" --~ pt,
~oBifllJlSlgrOO.1REPT ~ AITENTION:Oregon law req6~~~JiL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 follow rules adopted by the Ore.Qon Utilit a . '" ~ a
INSPECTION REQUEST: 726-376~'\Jotification Center. Those rUle&BFtfsJt9'B~umber -/8/-.S.r (
OFFICE: 726-3759 In OAR 952-001-0010 through OAR~t?6-Q('.}J.ro
0090. You may oblain ~eH;'ffi1Ef Me~b{;f'DULE BELOY
1. LOCATION OF INSTALLATION calling the center. (N~te: t e tele h Y
t.{IO '-( F:sJtS/'1rl,A numberfnrthe'otego UAi~~ij~n~r~.l-Single. or .
Center is 1-80 _~3!_~~~c'l 110/ <per dwellIng um t.
LEGAL DESCRIPTION er~f~e 'ncluded:
/ ~ t; '). () S 2- L. D ') c( 01.; Items Cos t Sum
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. ,CONTRACTOR INSTALLATION ONLY ~ /J dB.
Electrical Contra:;~rj?:.tl(5' ~
Address -=3/70 /l)tJ-~ / /~~
~ - --,
Ci ty 7',~ /-<. Phone 3 c;// g::--yZb
- V
Supervisor License Number tf/ r 0 5
Expiration Date / () .- y~7' l'
Constr Contr. Number d 0 f'V C
/ 0 .-t/.~ 99
Expiration Date
~trZ-bupm' i
Owners Name ~~~
Address tJ.. O~ Ifd.,c
SIp-J
City
7P ']
Phone 9{"' J'" J707
0\lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------7--------------------
DATE: / /Z(j 1 r 17
RECEIPT #: . 0 YJ-c. p ?
RECEIVED D Y : q Vt.J ,"V/../
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
I
g:- 5--
$ 85.00
'L
$ 15.00
30
,$ 40.00
Services or 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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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