HomeMy WebLinkAboutPermit Electrical 1999-4-6
Nov-09-9B 09:50A
P.Ol
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ATTEN- UI:U UIII..'~' .,
, d b the Oregon Utility
follow rules adopte Y t forth
' Notification Center. Those ru~e~:~e 9s5~~001 ~
. OAR 952~001-001 0 throug
, In Y u may obt~ln copies of the rules by
225 FIFTII ST.R2~', 0 he enter. (Note: the telepho~e
SPRINGFIELD, . O~r~74He. Oregon Utility Notification
INSPECTION Rl::(WJijlfj~IC92t~ j r~~800~332~2344).
OFFICE: 726-3759 en er,
3. COMPI.ETE FEE SCHEDULE BELOV
K
:p TH!S l?ERMlT IS i\iOT
, ~ANOONED FOR
. .', ,.... ,'"
t'ij'~ i i 00 0", ( r:ERIOiJ
ELECTRICAL PERMIT APPLICATION
%~1-
qq ()
City Job NUlI1ber
1. L9CA1'ION OF INSTALLATION
~3 70 I1s./.&A-
';.'
Ne~ Residential-Single o~
Multi-Family per, dwelling unit.
Service Included:
A.
LEGAL DESCRIPTI;(N
/'/ f:) '^ 3)--:; l
6 4'1~
Items Cost
, Sum
Jon DESCRIPTION \
..::;;&ns~ 0. C(,r(?t..~
1000 sq. ft. or less
Ea.ch additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
S 85.00
Permits are non-t.ansferable and expire
if vork is not started vithin 180 days
of issuance or if vOl:k is suspended for
180 days.
S 15.00
S 46.00
2. CONTRACTOR INSTALLATION ONLY B.
Electrical co~(rac(or r~ Jl~~9 rr~
Address l~q8 ~e*W1)r('\J{) J '
City l:S_~Q/V\SU Phonf,0B-IoI&1
Supel-visljr License Number ~ 1.lOJ.s
ExpiLation Date to! DL ! ~q
Constl' Contr. Number ~J')-l,q ~
Expiration Date IO[()L. ,(1_0
Sign.Crf supervisi:I\~C~ c~; U(1)
Ova,c, Name~~ cL4-~, D.
Address 43 70 f}51--o1L-c::Sfv~
CitY~n'/I:/'~ Phone 11f7- f:.....q
Services or Feeders
Installation, Alt€rations
or Relocation: '
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 anlps to 1000 amps
Over 1000 amps/volts
Reconnect Only
S 50.00
S 60.00
S100.00
$130.00
5300.00
S 40.00
C.
Tcmpora~y Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less' $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 vol is see liB" above
Branch Circuits
Nev, Alter~tion or Extension Per.Panel
-L S 35.00 Z;f36.
,One Circuit '
Each Additional
Circuit or ~ith Service
or Feeder Permit 1-
---
iI'
$. nOD ,~, ulJ
OVNER INSTALLATION
The installation is being made on
prop~~ty I ovn vhich is not intended
for sale, JC~$e or rent,
E. Miscellaneous (Service/tccder not included)
-Each installation
?ump or irrigation S ~O.OO
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limit.ed Energy/Comm S 36.00
Owner.s Signature:
5. SUBTOTAL OF ABOVE ~7,' J
The fO~i~iw&wcfaiilS'O~fi'@J:ta. s the followina I. f S-
zonin9r~9tfo~s n8t~itJirev~e'6"1C land use , ~' ~~
approval,... vt... - (':s . ~
Zoning ~ ~ D
If-(P-C; ,
~
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RECEI~T #: 3o!:t1 .",
RECEIVED BY: . ~/ ~
Date
AUIMrized Signature