HomeMy WebLinkAboutPermit Electrical 1999-1-12
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THIS PERMIT SHAL ' '" . " i~~OU
AUTHOR ,.. L EXPIRE IF ~~r= IAI() ENT\0N:oregon re' on Utility
IZc:D UNDER THIS P . H . 'fbflOWi~project as SUbmiltecl~T~l\I,Elr~'~li\eoPted by the 0 ;re set forth '
COMMENCED OR I,S, E~~l!1arml'o.s not '.qu',. spd8~IMib\l'G:en\er. Those rule~f\952.001- .
AN)'z' -Zi'5~'; :F!FT-ll::'fS'J:~~~NDONED FOR z .. ~D~Oot'A'~ 952.0013-DG~~~11i!~lQftWfU'Me~ICATION
.. ....e J onrng In btalO cOple . h e
SPRINGFIELD, . OREGON 9;J,!t 77 _ ~ 1- (do -q 1 0090. yuu I'~ ~ :tNme' \l;l~~~'e.~n9!;\'t7 J I;) D
INSPECTION REQUEST: 'nt-J 7 & ~ , ; ljO";F.g thp. 00lll~'. on U~lity~&lflcfati~
OFFICE: 726-3759 .,-\UUionZ80 Signature I~ IIme~~rthe Oreg t"c~'1'l...?~A).
. . 1'. W~s l.Tmo\,Q~'H't;17tfLE BELOY
1. LOCATION OF INSTALL~TION
~ ~ c-i ~ 'k.-<:>." ~
LEGAL DESCRIPTION '
17 (}.L 3f Hi-- (5 / ~.J-C;-
Jon D~~RIPTION ~ \1 \
.'<<\ J.,"-~ '~p ~ 'C. - D ~-d'- k..4 "-\""~---=--^
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
Elec t ri cal Con t rac';or \ 2.---............,.... j3 L.4-iR:-.
Address K'i 9' vr 'j1v_:. ),-<.. 1 .-0_ __
Ci ty+)Qi~_-< dV"l Phone 977 -.3<:: 5 )
Supel.'visor License Number 39.3,.}- J'-
Expi ra t ion Date ) 0- ,) - '7 '1
Constr Conte Number 8 <3351 7
Expira tion Da te ./o-} - 91
Signatu~['visiK Electrician .
B\ \-\+~C-~~~~
<:.---" - \~ ~
Owner~ Na~e +=S'. \ l'-L9~~V""" ."::,-..1
Address ~ i 9 ~~ \< u. ~ -t.~",-, \-- p", -{
'Ci ty \=) <.:> llL-e... C--r Ol(l Phone c; '77 -36.s- I
OVNER INSTALLATION
The installation is being made on
property I ow~ whi~h is not intended
for sale, lease or rent.
Oyners Signature:
---------------------------------------
1
DATE:
RECEIPT #:
RECEIVED BY:
/- /;}. :-77
~
?l1-\.I~ I
A.
New Residential-Single or
Multi-Family per dwelling unit.
S~rvice Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular 'Dwelling $ 40.00 jp 1~. .-
Service or Feeder I
n.
Services or Feeders
Installation, Alterations
or Relocation:
~. 1'.
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
$ 50. oaf. 50 ,-
$ 60.00 _..l-
$100.00
$130.00
$300.00
S 1,0.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res' $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 1t 90 , --
5% S ta te SUi' charge 'f.c::1)
3% Administ['ative Fee .&.70
TOTAL 9'7"J.7)