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