HomeMy WebLinkAboutPermit Electrical 1999-6-30
Th
ZO ,n
approval.
Zonlnr ~ 012..-
.. Ie ~--;O-"i<f~.,
ulhorized Signature _ a:J...1l ,'" Dt:R~ALL EXPIRE IF THE WORK
225 FIr!" -;lli.. I.. . PEBMITISNOT ELECTRICAL PERIU7 APPLICATION
SPRINGFIEl.Jl 'o~9IlZallH.lNDER:tl:!IS.. ".- - .-- -7-. "-.l""'-c'-~'QJii"Th---;-""'-~"~
IN~~E~.ION;hQ~~REN~~l~:~~~?~fQf\!.; . ..\;C~'t;(',J~b~Num~~( ~'l:O'~:.?b' .':11
OFFICE ._"U,,3~tR~O'DA~~e(J.' "-'-TCO!lPLETE . :-EE '. SCHEDULE BELO~ -'- ~;.":....: ._,J
1. LOCA7ION OF INSTALLA7ION
l.4% S"~~ Lo~ A.
. LE(;.!,1 DESCRIPTION l{o3 2(p 23
ifD~(j''j Jr> 0 7f'vv (T{) {,.'Oy
JOB DESCRIPTION r-
ID,....,... I-',..~ ~ ~ 'ru......I\....~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if \lori: is suspended for
180 days.
Ne~ Resiciential-Single 0=
Multi-Farr.:ly per dvel::~b unit.
Service In:luded:
ATTENTION:Oregon law rt.:yt'-e[,fSi you. reos t
f \low rules adopted by the Oregon Utility
N~RR!3tR.lh tento'rllessl rules are s~t f@51itoo
. .....;;h ,aM ;'t,;'omai'J 500ugn u"n 952-UU -
In crr\1"i ....;,)"~....., - ~ I b
00SS:'l'Y6f:. ri\ii.yP'!~.:.:&ioD)pias of the ru es y
~)1~li~Nle center. (Note: the tel~~t$)r.!.'5. 00
~i\~Hbtli'fJljhi (fj,?JD,,~r!>!!)tHity NotificatIOn
KCdu!'e'eii{'l:lr~};J.~10~332-2344).
SerVIce or Feeder S 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
(' Installation, Alterations
.Electrical contracto~_ fl"1ff'l~.~.o"1I I '" o~.Reloca tion:
Address D.n G..bJr ~ ::tl 200 amps or less
_ 201 amps to 400 amps
Ci tytLu,.o A 'I. qJl.l~hone~ 401 amp's to. 600 amps.
-~ J 601 amps to 1000 amps
Supervisor License Number ~.4. ~ Over 1000 amps/vol ts
. Reconnec t Only
.
Expiration Date'
in-/- nl
Cons tr Con tr. Number ~ n,", l.. C,
Expiration Date /0- I - on
Si~~U~~o~supervising Elect!ician
I~.A .~1111 '
Owners Name-#n1I-~:r.~. j
Address b) sU Lov]1
':i ty 5/J Ie! ;none -) ~'7 )?f dol
I
OVNEr. INSTALLATION
The ins~~llation is being mace on
property ~ o~~ vhich is not intended
for sal~. lease or ren~.
.
ners Signature:
DATE: 6/?D/C;'i
~PT;: I, O'~c,% 'Z
t~."" BY: tlt W....v .
..,.....
cf'".,-l.
"t.::;.':;;'
Sur.:
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' '0:- less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
S 40.00
S 55.00
$ 80.00
see "B" above
Nev, Alteration or Extep.sion Per Panel
"
L
One Ci:cui:
:;ach Add i t i onal
Circuit 0: vith ServicE
or Feeder Permi t ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy /Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOUr.
.::.
S '500 .~r- 0"0
~. .J~
- "\ "<)
S 2. 00 ~
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
1;
~o.,\1Q