HomeMy WebLinkAboutPermit Electrical 1999-2-16
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lOnlOg, and d~roJect as SUbm/lta
epproval es not re~;re d has the fOlio
specIfIC land
./."onlO EI'.~I'I1ICAL PF.RXIT APPLICATION
97 4 7 fJete s;5;J. 1ft tJ. po
726;;.3769 Jou No..ber~1J tf J 0
uUlorlzed S'
Ignature
1000 .q.ft, or less
E~ch additiull.,l SOU
:;Ij. fr or !Jortion
thp'r~o (
^~<j~rHanuf'J 1I0me or
r. 116dtryt;r DII~lling
HltSfI':\f.;i;. or Feeder S "0,00
AU ~qlV/lrs _....-,
r/:(no/",. HAL' c-. "
1(;0 ,.crvl'!;,~}{lZ.;" Feel:l;e,J!.(""
Mr n'sltalla tilon"',9 A~ to l;,Ifi;Ql\C5l1-;
Electric"l Contractor Winner Electric ANI, o('tiiill,ka'.ti~n:' iSP"'R'M 'c OR'"
,,-.-...- -4,." ':'f~('l:,;"'''1J,8IJ,ND c, Iris NO"'''
Add"'"o,.5.~ 5 0 SW Pro s oer i t '!....E.~r: ~_ ~d'o//o 1'S-JV2,OO am'ps''?6t'I),leos ONE:O J:;,,_ $ 50.00
, I. Olli;' /1.-r" ~v,amp" to 400 amps -q S 60,00
City_lualatln, OR Phonc503/63?,~AA~~/lo~f\!Qt'G:,nJ's to 600 amps _ S100,OO
97062 ~O .9.s: >'i0~{j'9'0.ilP.f~~to 1000 amps___. $130.00
Supervisor Li(cnse Number 28255 , E~M" Yo" I?-oO!~~ ~""ilf:'1l!1',P.,s/vol t$ $300,OU
rJ"060!) IIl0qy t:ct1'V/fl'cJi:l 1.<Yg.ll'Yl";r. ..._ S 40,00
fir/, fie 06l,Oll} fir. OrE> E>&y,
-. . eE> or 0f!E>I}4Jirt(l~~~!;lt(@.r ~f@e'tiOo'r-o r e e de,' S
>'i/E>r; Orbn(.J\til;"~;,D.!;>,(Qq;Rl~tw~Jon or Relocatio'l
;s- '.&'{)Ol}u~'II}E> OFII} BS.? FOil
~.i~ ~E>r-c"% 00//1 S 40,00 40,00
201 i?na>.;>tv03/,~ JfrtfP.s ,--- S 55,00
Over I,O'l~;o/~~E>amps S RO,OO
Oyer Goo amps o'r 1000 volto ,.ee "B" above-'
225 PIFTR STREET
SPRINGPIRLD, OREGON
INSp~CrrON !tEOIlP.ST:
OFFIG~: 726-3759
1.
LOCATION OF INSTALI.ATlON
:l4fi:l ~':..:t.tO.n..5.rr; nnfipl r\ - Oil
- 97477
\CW'~G-..CO~l\~-
JOll D~SCRIM'ION
__.N.e',' O'ltb'r~ Doctrwni...
Permit::: are llor\~tt'an$ferab!~ nno c":"pirc
if lIork is not starteJ vithin 180 days
of i$~uance or if vork 1S suspended fot
180 .Iays,
2,
COIITRACTOR INSTALLATION ONLY
Expiration Datc
1 n_()l -01
Cons t r Con t r. Number ~.l5..o.r
Expiration DHe
10-01-99
..----
Signature of Supervising Electrician
'""'" ~~ ;;n~~___
Add r,,", 3'fd- &,-(,(., ...____
Ci 'Y C;f1~ t,uf/ Ph~n~ 7C{6 - fl(lfr
OVNER INSTALLATION
"ne in~t(1.11ation is being m.J.de 011
property I ovn vhich is not Intcnd.J
[or sale. lease or rent,
Ovners Signature:
------------~-[~-~;-------------------
DATE:~'1 /I
RECEIPT #: _ 6;;> 'q- 7f -4. 1 ( 1--:"
RECEIVED BY: --"u;;~T/ (.,J{/'\../ . ..
20'd
'OtlPI.f.TE FEE SCUEOULE BELOII
A,
N~w Residentlal-SinKle or
Hultl-Famlly per dv~lling
Servic~ Included:
llllit.
I t eJn~;
Cost
Sum
S 85.00
S 15,DU
, '
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0,
Br311ch C.ircLJits
Nev, Al[et';allon or
F.xtens\on Per P3nel
One Circuit
Each Addition31
Circuit or vith S~rvicc
or Feeder Permi t
$ j J . 00
$ 2.00
\"
Miscollaneou. (Service/feeder
-~ach Installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res _._'u_
Limited Energy/comm
no t i tlclL,JeJ)
s ,,0,00
S 40,00
S 20.00
S 3G.OO
'.
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5, SUBTOTAL OP ABOVF.
5% State Surcharge
TOTAL
40,00
'--'-2-:-00--
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