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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