HomeMy WebLinkAboutPermit Electrical 2000-1-28
The, following project as submitted has the following (t/tI TRANS#: 01-0000402
20nlng. and does not reqUire specific land ~t ' . OATE:JAN 28 2000
.approvaL, /1 ...... I~ ECTRICAL PERHIT APPLICAA11yNRECD:2 $ 57.20
97/,77 Zoning f1 '- J.,) NI f'i'...'41 d CHANGE'
126m?!> 9 /-2/(- s--o City Job NumbeW'u.J't . J:lJIIIER:032
Authoriz6a Signature ~
225 FIfTlI ~TlUmT
SI'IUNGFIELU, OIlEGON
INSPI!CTION REQUI!ST:
OFFICE: 77.6-3759
1. LOCATION OF INSTALLATION
III rY\1l~ ~
LEGAL DF.SCIlIPJ,:,ION
II 0'9 '3:) :n- - 6 (", ( cr-i)
"JOII . DESCRIPTJ:ON
I /)J..JJ ~.. n
Permits arc non-trallsfcrablc and expire
if vork is not started vi thin 100 days
of issuance or if vork is suspended for
100 days.
2. CONTRACTOR INSTALLATION ONLY
!-:lee t rical Con t rac tor LFmt7 E:1:.ed-fIC
Add ressc:Sto(o.;l(" (l-e clCJ.fl. fi,II S
City ~L-e~ Phone11-Io-()&,59
Supervi,;or License Number 34'1;) '::>
/Oh\OI
Cons t r Con t r. Numbe L' Z 4lo '1 ~
"7 I J l\ \ 00
Expiration Date
E>:piration Date
:i
j
:!
'1
.
Sienature of Supervisinr, Electrician
"1~ ~~
Owners Name 1l1.jVg( ~ p~
}
Address III IM~
City ~A.~r.,4, I'hon"_JJ.l.f-/"Rct<i
OIlNEIl INSTALLATION
!
.
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"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
;1
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Ovners Sirrnat\lrc:
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---------------------------------------
DATE: \-2C(-ifD
RECEIPT ft: U 0 1- ,. \
H I:n: I VI:!) II y :-~.-.---_:_~~m
',;"UPl l1'rl/ FEE SCHEDULE DELOII
A. New Residential-Single or
Hulti-Family per dwelling uni t.
Service Included:
Items
1000 sq. ft. or less $ 85.00
Each additional 500
sq. It or portion
thereof $ 15.00
Each Hanuf'd lIome or
Hodular Dwelling
Service or Feeder $ 1,0.00
II. Services or Feeders
Installation, Alterations or
Relocation:
200 less $ 50.00 50. -
amps or
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 00.00
volts see "U" above
D.
Dranch Circuits
New, Alteration or Extension'Per Panel
One Circui t $ 35.00
Each Add it ional
Circuit or with Service
or Feeder Permit \, $, 2.00 2,00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$
$
$
$
$S;;2.. -
7,.(ptj 1'" 1.<10
fl,S7,~() .
'"
40.00
40.00
20.00
36.00