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HomeMy WebLinkAboutPermit Electrical 1999-8-24 02/11/98 10: 22 '5'503 726 3689 . SPFD DEV. SER. ~-~or ' 225 FIFTH STREET SP1I.DIGFIELD, OREGON 97471 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 1 17lf/ rr.tfl. l14"'b~ LEGAL DESCRIPTION 11031-1 ~o oOU>u JOB DESCRIPTION u /O'W? , , I Permits' are non-transferable and expire if vork is not started vi thin 180 days of'issuanc:e or H york is suspepded for 180 days. ! i 2. CONTRACTOR INSTALLATION ONLY , N7'.-'?J/..;:f Elec:trlc:al Contrac:tor ~~~~ Address d/;?~ kf 2 ~~.' City &/"h~_ Phone 3yJ'-;?2-97 superviso~License Number ~~~-;> / D/'79 //'2-52- /3/'7J Expiration Date Constr Contr. Number Expiration Date Signature of~ SU~iSing Elec:tr~c:ian Lk-6d/c:r~~~ ' O~s Name s/Jrll UM.t1.' Address /0 J. ~ (;. .;,/' City s.~t4 Phone OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ------------------ DATE: c, g, '2L/'-'7c:e .u.""J.1'T.f: =1~ ' RECEIVED 'BT: ~ C. Temporary Services or Feeders Installation; Alteration or Relocation 200 amps' 'CT less I s 40.00'(0 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "8" above D. Branch Circ:uits " New, Alteration or Extension Per Panel One Circ:uit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder -Each installation Pump or 'irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. Sl1BTOTAL OF ABOVE 18% :State ,Surcharge 3% 'Administrative Fee TOTAL S 40.00 $ 40.00 S 20.00 $ 36.00 'to "" l.-ro ,. lJ/ 1/ l./. d.J