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HomeMy WebLinkAboutPermit Electrical 1999-1-25 (2) I zoning, an approval. . ),]2 f2-' ,ZOning /-J,Cj-CJ<j oroe ~ A~ ~ Signature .'El':TION:Oregon law require~ va ,!,Q..,T 2~~"'fHTH STREET -N fO~I?w rules adopted by the oreg~'r~&f.MVU.CAL PERMIT APPLICATION SPRINGFIELD, OREGON 9747 ~ .ollfrcatlon Center. Those rules are ~et ';oy ~ v / I I 11 L{ INSPECTION REQUEST: 726..!!'l~952-001-0010throughOARd52!irOrtjob Number 10 7 CI OFFICE: 726-3759 0090. You may obtain copies 1. ,~- 1- calling the center (~te' tfiU?.!i'}j,T~e:r~E SCHEDULE BELO\! 1. LOCArJ:ON OF INSTALLAT]ONnber for the Or~golJ uin N ~f.no~e tfCl'l'r h1f2.~""rj"A- CP.nt"d~1_80~33~~\lrC#{!s<l!i1(!htial-Single or ., 'Mura-Family per dlJelling uni t. LEGAL DESCRIPTION Service Included: ;707- 5/ Y't Oi'ff>D JOB DESCRIPTION . /7 . 1000 sq.ft. or less <;;P It ezt:l.Tf(,iCAY s:..~IG<IlfCE: Each addi tional 500 JHI~ P.EI'lM T ssg. ft or portion Permi ts are non- transferable and expire r HALL ~figlf'efo~ THE WORK if lJork is not started lJi thin 180)"'day1iIZED UNDE.~!"I)I~!i,ae,I./;~;r'plc.H,q.''l7' or of issuance or if lJork is suspended,,for'ED OR S Hod.ula.rDlJelling 180 days. vVIVI,v'l:N\'; I :s~~.iI:j12elror:='Feeder ANY 180 DAY PERIOD. 2. CONTRACTOR INSTALLATION ONLy~.B. Services or Feeders <- ~t /~ Installation, Alterations Electrical Contractor ,)" r( S or Relocation: Address 3/? D // Ja.e; T ./);'.vk 200 amps or less ~ 201 amps to 400 amps Ci ty -:/~ A Phone 39"/ g:--Y2?J 401 amps to 600 amps - V // 601 amps to 1000 amps Supervisor License Number '-7 r 05 Over 1000 amps/volts ~ Reconnect Only Expiration Date / I) .- v~'l RS - Constr Contr. Number dO f'</ C Expiration Date /0.-C/-99 ~t~ Supervi ng l'::iciari ___ V . o:ers Name /ir{;A-~ f}lll/lf Ow.-.-J L/ Phone 7'f'i ,.rler Address <}t> q Cit~ s,{)p-I ; O\INER INSTALLATION The installation is being made on E. property I OlJn lJhich is not intended for sale, lease or rent. Ovners Signature: -----------------7;-------------------~. 5. DATE: 1/'2.-5' /1 f /J <', RECEIPT 11: . JJ ~L- Htl/ RECEIVED BY: #/ /,./uw./" It ems Sum 8'S~ Cost I $ 85.00 'Z. '30 $ 15.00 . $ 4b.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Re~ocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "Bit above " NelJ, Alteration or Extension Per Panel One Circuit Each Additional Circuit or lJith Service or Feeder Permit $ 35.00 $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 //S l.P .';..,of' L'-IS- /24.2-0