HomeMy WebLinkAboutPermit Electrical 1996-10-24
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T)'"0 following proj~ct as submi1t1;Ja'1)o'S'1h~ following
7 :',mg, and dOG:l not require specific Ie.nd una
r.i:_pro....~l.
~
22.5 PI: J.J:1 ~ L-~ EUC!R.ICAL PI!3HI! !l'PUC.\rIO/l .,
S4'RINGF!ZUl. OREGON 97477 Zoning q / ~ I'() 0/
n1S4'::cn:ON REQUES!': 726;,-1769 W 11..'-1 I ~v Ci t"f Job /lu:zber I() I, tb
OFfiCZ: . 726-3771 ~.~ *'
. ,'1077 vA . orlzed Signaturo :r ~ ' ,.,.""m, -
o(;'VI J_ ....vn~ J,.."",,:;....c.. =r..::. s'"'~u....... BELOq -,
I.kl~3tON OF rNS'!ALLI.:!O/l '
~0#v/,€'~~~~A. Nev Residential-Sin,,!e O~
~ulti-Family per d'Jellio" uni:. ~
UGA!. OESClUl"!ION Ser'/ic:e Included:
1'0'2,17 J D()21r?(}(
J@ OESournON
1'Mi'r pUIO./
Pe!.":l1i ts are non-transfe:-aOle and e.'t'pire
if vade is not started vithi:: laO days
of issuance or if vork is suspended far
180 days.
2. COtmAcrOR rNS'!AllA1'!O/l 01lL! B.
,
Electdcal Contractor. P'h,\;n~ '~ctnc..
.
. ,
Address -::; i 70 n-,.o ",,..l.,,, L.,-:J
Ci ty 4'1 1 r:Q.....o'-'2- Phone Cc~-'~ 12...!
o
Super7isor License Number Q'I~ S
Expira tion Da te
lCJ!'1!p
Constr Contr. Number
'~- \1GG
lohG
Expira tian Da te
.
Signature of ~" er.risi~g Zlec:rician
l""u~
~O=er-s Name tVtiPr7_ kl.5;TD
'7-Addr:ess/4f<4 ~K-
')(I;i tj: "5flft-, f\Y..,r.;,t ~",_Phone 74 j-32-3r"
O~ :rnS'!AllATION
The ins :a!.!.a cion is bein, :ade on
proper-:y I o'Jn 'Jhich is no: incended
Ear sale, lease or: rene.
Ovners Si~-ature:
10- Li/j'!(A
"22:c;~7
~C
DATE:
RECEI?I:' ~:
RECEI'lZD aT:
Ie~
,
1000 sq. ft. or less
Each addi :ional 500
sq. ft or por:tian
thereof .
Each Manuf'd !lame a~-
Modular evelling
Ser'/ice or Feeder-
Services or: Fe~er-s
Ins talla tion, Aleen:ians
or Relocation:
ZOO amps o~ less
201 amps co 400 aces -
401 amps to 600 ames -
601 ames to 1000 ames-
Over 1000 amps/'IDles -
Rec:onnec t Only
Cose
Sum
s a5.00
S 15 .00
S 40.00
s :0.00
s 60.00
5100.00
S;.30.00
5300.00
5 40.00
c.
'1'emporar; Ser-vices or'Feeders
Installation, Aleeraeion a~ a.IDeaeian
ZOO amps
ZOI amps
Over 401
Over 600
/ J()~
or less I 5 40.00 '-1'
to 400 ames - S 55.00
to 600 ames - S 80.00
amps or lOOOYOICs s.e "B" above
O.
Branch Circuits
Ne'J, Altet"aeion or E.,<cension ?er Panel
One Ciccuic
Each Addi eional
Ci=c~i t Ot" ~i ch SI:!~/ic~
or Feede~ Pecmic
S 35.00
S 2.00
~iscellaneous (Se,ticelfeeder noc included)
-Each inst:allation
E'um? ot" i"rdgaeion _
S ig~/Ou tline !.ighcin,_
!.irni cad Enecg"j/Res
Li:ni ~ed Enec6'.I/Com:
E.
5.
SUBTOTAl. OF AllOVE'
54 S;:a te Sut"chaqe
::5u;,? TOTAL '
. 3 "'70 !"'tV "" ".N
~
S 40.00
S 40.00
S 20.00
S 36.00
4000
.;241,;
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