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Permit Electrical 1999-5-4
{~~1~~~f\o'~' ~.C!j" "..,'~.,"lI"$J'ttJ,:.:..., "?;;,.r"l' :\(;;.,: :,'.'.'\::'" 1:1:,11\'1',7. .... I ',...:1:....:,.. , . :'.,.,"~.,~..!., 'I' ~~'i' :~~l\(J,~i~:fi;';-:" io~':~.<'i';';;i'\" ,t1"~"'!.W:....*-I. 1Itt~1~_' .' , I'" j'i: I.:,:;~'\;;.'t: ., I i ..;:-,: t ',.I ,! ~. ,q.;,;:,'... '" .,..;" ,225 FU"l'R STREIlT :;,r :.;\:.~~SPRltlGPlF.LO, OREGON 97477 ,:::'~ 'iit/(jIN5HCl'ION ItF.QlfP.:.T:.' 726..3769 n'i~':;:.t OFFICE: 726..J 7 59 . .~..t.,1 . :. ,~{l "".' .... I . ~".I .. ~... . I~:!"'i.~.)... LOCI\TlON ~F INSTA1.I.ATlON I .:",}. :~~, ("'2~7$~~ ~"... 1\. Nev R~sincnt lal-Single or I' ,::,:". .. '" 7- " . / Multi-Fandly per dvellir.~ ,'j', .j", ' . <,-"""<.,,.' . LEGAL OI::SCIUP'fION Servico Tnd\lded: ::~F~';:\;;:i:~~TL l-JI\"\ IYt i.\ ~LL2.-wJ'~.:2.'::l.~ <I?~ !~~.,i,}.,~:.(::,; r ;,~~,,~.!~<.. JOB DI::"Clll.rr,rON 11\':;.f.;~:;;!Ye..~~I>A.J lJov;;e. r;a.: (I 1_""':""..1' . :;I:)':~';~~:~,'Per:mit~'Qre IloJ\-tral)!,;ferablp. nnc1 c~:pir{~ '::>:,.::/if ,\J,)l'k is not "(~rteJ vi thin 180 day" (;:":::f"oLi$~uan~e or if 'Jork is suspended for .'." ,.. ... "80 I . ." :.,l,;t,-:.. (;lY:::. ! " ....'~ t i 1 .. .... ~;'J'::"\I!,.?-,;.-:colrrRAcroli INSTALI-^TlON ONLY ~X!'..::i;i~~'iectric<,i Contmt~r W:~HJe.L-e/~tvc... 1;':)..\.;;4i::\';'ddrw 6'1~{) 5w Pr"dS~~.~'-~-~ i1\"'f,::1.cj':i .-... --.-....-..... I,: :. :.\;, City 7;:...//-t-/;"; Phone 503 6~~_~() z h> ,., ., ...: . . "'I7D(,-z..... : .:..' .Supervisor LicQI\.se Number _~9,26'~_..... ll)-DJ -() J ~_'-!:: /5DC- /0/0 I I CiS- I l...... -- . . ~PJlIN~I'U:L.D ,."t;""'~'.I' , ~~'''~.~9r~ 1:'_,_. ,;':..;', . ;'.1' , , , . .j .), ~~, ,,'n ... E.piration Date I'Y:~";:,constr Contr. Number , . Expiration P~te I,' ", i. ,:: '., Signature of Supervising Electrician ': ..". ~ ~AA2J I. .., ,~ Ii; .1... I ....- ::,: ;,:~ 'i~:r' O<Jn s Narne_..~o AJ ~_~.3':r:_1fi.J.L_ f:;(I~l"....t.'.\, I I~~::"i"'.;.' Addm:s/b:l/'('; 1I1'\()~ by.~ ~'yll~jpt> ,', .: .'. 6.' ..,J...., Pf'it,e,.lc.. I I '.1 ':'c.' .Ci ty ...-/"I' AI Ne'sO-!1l. .Phono ;;, . <<:. . . -5S 3<('( I .. "",iI, . OIlNER INSTALLATION ,....:'.,..,::::.. . .::.., .:~,:~;;i 1'he in:-:tnllation is being made 011 ...',~,' 1:,'/, property. I 0"11 vhich is not intellded I'" '. 'Jll'..' i~'~<:.:J~;:..\'...for snle, lC3!;e 0[' ren~. l~!,..,,~~,~;&-I}.. . , I'tl;~";:}";'€t~,. OVllero 51' gnat u re '. .".. "1l'1'1.~ .' .. I:" Ii; i: -l~ '.. ~ ,.;-':~,':~3:!!,,\' ' Pl.t /;<. .,t.!'., ('Jll.:c..:.,;lII~". '~~,':~i.';jt~ '1.'...-----------.-- ---------- -- -. - ----- ------ ':IJ!!I\t";:'~DATE: '. -"'~~'~ "~" '~ltECW:r'i: .p,?~9' 'ReqH:~~J.~},;.~c~,i,.//- .., '. . , , . :.'!;'.1.<~\,,,~,::,,'6~ .r ','" ,. "'.~ ""'.';\-:",It"',,,~ Z-~"_:l;' ';.~. ~t:;' .:; , n. . .....~. .':';.;.....;:~l~.~;..\; 1\~.lI:.-..,:,~.. ' ZO. d . ~f..\..~. .."'."\ l." , . .', ':/. .. ~l;{~~'\;""""'-' ..:;~_..\,',r_' '..'..: 'r;'".\;; ~','~~';r..t'. ~ .... , '.; ~!.:. ....). ',. r.LP.C'l'nICAL PF..RKIT APPLTCATION Ci ty Juu Number 99&'/~? 3. COK?Lr.TE FEll SCUEDULE BELOII iOO amps or less 5 S 50.00 201 amp~ ta 400 ~mp~ S E.O.OO 401 .mps to 600 amp. , S\OO.OO (,01 a"pc. to \000 ampS_L_. S\3o.at) Over 1000 ~rnps/.olts SJOO.OO Reconnect Only ..._ S 1.0.00 C.. s _.~ r d .. . Lempor(lTY ,.cr'J1ces or 'et? e~.s: ln~;t;\ll{lt_it)ll, Altecntion O~ P.elQ':i.!.tion I (em:; 1000 .q.ft. or lcs. Er.ch add it iOll;ll ~OU .'iq. it or portion th~r~of Eilch fl3nuf'u lIome or Modulor Dwelling Servlc0 or Feeder D. ~cryit:~s or Fe~der$ Installatiorl, AltC'r~lion,; r~'-or fielocation: 7.00 .,'"ps 201 arnps OVe[ 1,01 O'ler GUt) or less to 400 amps to GOO amps amps or 1000 vo~t~ D. Brallch C1 r<.:u it!:' H~~, ^lter;lt~on or Rxtqnsion Per Panel ;'.' On(: Ci rcui t EaL:h AJJitiof131 Cirr.:ui t or vi th or reeder Permi l rICH\' ice JBR l: . ~lisC01 la01.?0\.I,S (Ser....i.:.e/[e0{1er -Eaoh instAllalion Pump or irrigation .Slgn/Outllne Llghlln~ Limi t eo Energy/Res --...- Lirni led Energy/Con"n 5. SUBl'OT AJ. 0 P AllOW. .5% Slate Surcharge TOTAl. \lflit. Co", ~ O:I.OU S 1~.D() S "'.l. 00 S 40.00 :, 55.00 S ?O.OO ~;e(' j'B" ::, J~. uo s. 2.00 :.ium ~.; : '. .'?$12.c.l,:: -1QC:!,';)6 . , J3o. 00,'. "Co~.-' 31'-IH rlC { i 11(': lllcJeJ) s "0.00 S 1.0.00 S ;~I). OD S 3G.00 8'5(.. 01 '-'-"4~:~,.. ~ql1' .\lO ,:'f t. .~~~/. \121'::01 ." ,