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HomeMy WebLinkAboutPermit Electrical 1998-10-22 02111/98 10: 22 .. 726 3689 SPFD DEV, SE~ ~001 1. Ws;AUOtj.-OP INST.M"LAl'IO\f) -A JL L ,~~~ l:JA0'1 <1._ ~ >>..ll1.. t11l ......1 ' A. _11~0PTI~3dLY) , I,JOB DEsgIPTION 1000 sq.ft. or less .~l.eo_ ('1/1 ('I 11-}-'5- ach additional 500 I , q. ft or portion Permi ts are non-transfer~bl. expi low rul 'ih~r!!oA I , if york is not started y~th 180 da'Ys/ificauo 5Mb>I~~"'de~~UI of' issuance or if York is suspepded itfl1lAR 95; CeH!HWrno;~1!'4>!IS'" Vli/'tO 180 days. ~ 0090. Yo -OO'Sepy~lijj, \)fUtreedl,\lSett' y i c' U may ObI' I oUgh OAR 9 ~"" 2. CONTRACTOR INSTALLATION ONLY nu:~ngJile C5~~Z(epiJis BemMfl"OOI- ~&;rM"c..o 5 ertorlhl,~''llWl?ilhP,I~~r~'Hlllns Electrical Contractor E<::.6'-......~ =-/l{c,Centelqsl_ '8dattJit9lNotif O?e i' 0-332-2344 ICatlon Address _'7/ 7 <:) W, 2- ~ /ItA"'. 200 amps or leks 'd-',-:; . ; 201' amps to 400 amps Ci ty &,,~~/ Phone . 34!1~d.. <77 401 aDIp's to. 600 amps I f.. '(5' 'C:~ 601 amps to 1000 amps Supervisor License Number ~~~-~~~~ Over 1000 amps/volts -2.5''':<''~-5 .,,~ ....4><:", '~". Re'connect Only Expiration Date /O~9~;~ ',(>, ...... -n, v(,. ~ C_ Temporary Services or Feeders Constr Contr. Number / 7 2~?P ~,<'(", Installation, Alteration or Reloc:ation , ~~''..fr. , ~ '~' 7 ~ Expiration Date /C -7 y~. 0'-1 ~ ~~200 amps"QT less $ 40.00 . - 'f) <T1il 0'.<> <29,1 amps to 400 amps $ 55.00 Signau:e of Supervising Electrician ~Q ~~O~ 401 to 600 amps $ 80.00 /, /::?, ./ ./i, ~ <~e~OO amps o.r 1000 volts see "B" above . ?-r ~~-~~ <? ~ 0',4/_ ~f: // ~_." 11\ : D. ~ra~ Circuits Oy6e'rs Name ~ I 1).0 , , ~ Ney, Alteration or Extension Per Panel Ad~r ss~, ?() r~~,:1Y\? 4'=-11 One Circuit $ 35.00 Ci t ffrfl Phone~f);.,t'J~ Each Addi tional Circuit or with Service o INSTALLATION or Feeder Permit a $ 2.00 New "dential-Single or Multi-Pamily per dwelling unit. Se'rvice Included: Items Cost Sum $ 85.00 .$ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' ~ ~l' The installation is being made ~n property I ovn which is not intended for sale, lease or reot. E_ Miscellaneous (Service/feeder not included) -Each installatioo Pump or'irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 29..fD Ig"L- \ J ') "'\ ..1.... I'L- Owners Signature: iiArE~------- \0 '2.'1-.u..-6 ..... '" .',&,".....rL'lI: '~ IL\~-' ) RECEIVED 'BY: t'~./ ,}\ -....... , 5. SUBTOTAL OF ABOVE 5% 'State Surcharge 3% Administrative Fee TOTAL