HomeMy WebLinkAboutPermit Electrical 1999-3-17
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The fOllowln " '. .; /vl/r Su ,~
225 r.J.rUl ':)L~J.. zoning andgdPOroJectassubmlttedha~'tAe-t"t' , ,iAJHIJt:C1'RICAL PERMIT APPUCATION
. es not requ. ,,0 OWIOQ ~J{PIPr. .
SPRINb~.u.LD, OREGOlfP9FMirl Ire Specific ;~~nd 'USE! J71J!)E.~.,.. , 17~ If: ,/.It- (';;9 ~ 0 g-I
INSPECTION REQUEST: 726'Z;r{;~~ C!. ~J\lY- "'!fw.- 1"";' .~ C].'fIYi~ N\1fiiH1@,Q~ 7
OFFICE; 726-3759 Date "::l _-...., ~I" ~:".',.;'iJfIi/)",' '!v1lr~~JI()'"
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1. LOCATI~N OF ~ature ~ -
1600 CENTENNIAL BLVD is.. New. Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. .'. 4~' ~ ,~nstall~tion, Alterations or
Elec tncal Con trac tor SCOFIELD ELEC\f'...R,If~'JV7'i'&trloca t 10n:
- '71ow t V:Or
NOliti ' U/es R. Sgon /q
in OA~qtlon cl:rfjp~ t~r!ea-,~Ii~s $ 50.00
0090 952_0~.~r.a7nt~ ea Ot@.9;!O$60.00
686-86~i:oU/r)qYt- 7~fb~ffO'e6@~1 'sty $100.00
nU/r) 9 the ce~ q/i!l~. ~S01.'lWB mptlh $130.00
508 -S ber tOr the2!t.er(A101fi~;cfMI6l$iyjf!~@7 _ $300.00
Center il-!.@.8rm.'Yi;ht ~fSLUPh es by S 40.00
1 0 / 0 1 / 200 1 -800-332_'1' NOlitiCq~?e
c. Temporary ~dtvice9f1 or Feeders
Installation, Alteration or Relocation
LEGAL DESCRIr ,uOH
17 b 3 2 f '3 'I O'lf'lO 7- '
JOB DESCRIPTION
RUN HVAC CIRCUIT/OUTLET
Permi ts are non-transferable: and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
Address
PO BOX 2765
Ci ty ]TT~F.liE.. OR
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
38702
Expiration Date
12/21/99
s~~ctrician
v -. p
O....ners Name W.tf/r !;1t~O IJA~ ~
,;
Address It~ () CR t<I"WP#{ -+' t
Ci ty 5t?~(.LJ Phone
I
OllNER INSTALLATION
The installation is being made on
.property I ow which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:. 3/11/ f r
REc:EIPT t:' . () J J 1,/'7 /J.
REl.lUVW BY: . ~ ~/fIt,/)
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Items
Cost
Sum
D.
Branch Circuits
$ 85.00
$ 15.00
$ 40.00
S 40.00
$ 55.00
$ 80.00
volts see liB" above
Ne...., Alteration or Extension Per Panel
E.
5. SUBTOTAL OF ABOVE
54 S ta te Surcharge
3% City
TOTAL
One Ci.rcui t $ 35.00 ,3.:s-
Each Additional
Circuit or with Service
or Feeder Permi t -L- S 2.90 ;:2. a:>
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
, Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
S 20.00
$ 36.00
37.00
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