HomeMy WebLinkAboutPermit Electrical 1998-8-3 (2)
110
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Notification Center. Those ru es are s
in OAR 952-001-0010 through OAR 952-001- NOTICE'
0090. You may obtain copies of the rules by .
calling the center. (Note: the tel~~ho~e THIS PERMIT SHALL E
number for the Oregon Utility Notlflcatlo~~~XPli~~~E WORK
225 FIFTH eeRWF'IS 1-800-332-:;me~~!iler8Dllila Tl)SWlH APPLICATION
SPRINGFIELD, OREGON 97477ZOf\I':al 1Vl1V1l:N OOR/SABAN ()(/I\.') de,
INSPECTION REQUEST: 726-ffglJ' Ati()1& DAY PC:<>IO Cl ty05lliFIN~r 'iN)") I r
OFFICE: 726-3759 Zonlna ...u1 O. .
ra?lel.Q-1.J~qlt,. 3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLAT 4)
"--'-"45-~,,""'\.$ Sf AuttMI>...d8lgnalUf8 .. L. r"o~~",,,"'al-Single or
Multi-Family per dwelling unit.
lor LEGAL DESCBlPTION Service Included:
() ()~ () It- 16 (){)m-D Items Cost Sum
JOB DESCRIPTION
Add II'\O~
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
d I ~.
Electrical Contractor(;~~~ c: eC\~I(
Address <~9S<l Ho..~dc-N 1&", Rd
Ci ty..:i.t'-f I d.. Phone:J..:iJ -0 '-/1 '{
SupervisoL' License Number s36 S~ 5
Expiration Date ((-IO-'l'iJ
Conser Contr. Number 87/45
Expiration Date j/--ID -'lg
Signature of Supervising Electrician
,
./-1 "":1 ^ ~
Owner~ ~e c"S) G 1\ \3 ~r '\
Address ,'-{5 'DorrIS
City..5PFld Phone/'l'--o3z6
I
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or ren t. .
Ovners Signature:
--------------r~----------------------
DATE: 'K~3~q b
RECEIPt j}: \. )-~{ l:1}J/ )
RECEIVED BY:j I. { WAl
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
B.
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
c.
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100:00
$130.00
$300.00
$ 40.00
S-o.e>O
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
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit g
E.
$ 35.00
$ 2.00 /6.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$
66.00
';3...:50
[.QK
---/) - 'tt'O
l,. I
40.00
40.00
20.00
36.00