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HomeMy WebLinkAboutPermit Electrical 1997-9-26 . The.lollowing project as submitted has II 0 011""-,. zoning, and does not require specific Ian j I ,,'~"'" l~ approval. . . (~~ ~.. Zoning mo::y .~,~ "- , ~ cr- . 22S PIPTB S'r1mE1:Date~~~ 41 .~ ~ ~<( BLEcnuCAL PElUllT APPLICATION Sn......~.u.LD, OREGON 4 ~;u., g; . INSPECTION REQUESl'1i1orIi126>;3r7.fi9re t--JM.11: il rf City Job NWllber Chi 0'-0 ( OFFICE: 726-3759 .\" ~ ~ . - ~ ~3-:b 'cOHPLml l'BE SCBEDULI! BELOV 1. LOCATION OF INSTALLATION . of If;r . JJ?{) l:h1.e.L.n uJ &l.ll",.f::. ~ .<.#: (~ev Residential-Single or ~ ~<i'" C\((,.) <;:)0 (~Hulti-Family per dvelling unit. LEGAL DESCRll''l'ION ~O Q.' .'}!' (j .....<:f.' Service Included: .. 17D322..DOD 22../ ..,.-:' f' 0. ''.~ <c>"t- . ItelllS Cost .";~~~' JOB DESCRIPTION . __ . ,<:'~ ._~ _. :' Ah-;::,,;d.-c-k-r- D-,.) -;"J1"!o,'cf"; t.l''tl.n ~. Permits are non-transferable and expire if york is not started Vithin 180 days of issuance or if York is suspended for 180 days. v U~1l5' ~7 U9: 19 tt50a 726 a66~ . , ,,". 2.. CONTRACTOR INSTALLATION ONLY Electrical Contractor KEI ZER ELECTRIC Address 1410 MADISON STREET NE Ci ty SALEM Phone 378-0267 Supervisor License Number 1579 s expiration Date I qqJi' Constr Contr. Number 25359 Expiration Date h /25 /98 Signature of Supervising Electrician )7~rLJ It, b) CJld.... Owners Name c:orn.l Qt<''T'TtH.':Ml<'1\lT Address 7 35 COMMERCIAL STREET City !';/\ T.F.M Phone 01lNER INSTALLATION. The installation is beini made on property I ovn vhich is not intended for'sale, lease or rent. Ovner~Signature: -. DATE: ~ RECEII.'T #: RECEIVED BY: q- ~(p- '1' 7 ,;,J.7<;\ ?-, 1CAJ .) sl;'n IIIiV. Slill. 1000 sq.ft. or-less Each additional 500 sq. it or portion thereof Each Kanuf'd Home. or Kodula.r. 'Ovelling. Service or Feeder .8. Services or Feeders Installation, Alterations or Relocation: loo lUIIps or less lOt amps to 400 amps .01 amp's to.600.amps ~01 amps to 1000 BIIIpS )ver 1000 amps/volts ~econnect Only. C. IgIUU", Sum $ 85.00 $ 15.00 $ 40.00 S 50.00 $.60.00 $100.00 $130.00 $300.00 $ 40.00 remporary Services or Feeders . [nstallation, Alteration or Relocation . D. !DO amps- 'or less /01 ups to 400 amps )ver 401 to 600 amps Ivir 600 amps or 1000 VOlts lr;;nch Circuits $ 40.00 $ 55.00 $ 80.00 see a8" above .' ~v, Alteration or Extension Per Panel ---.L $ 35.00 3$'~ line Circuit ':llch Addi tional Circuit or vith Service or.Peeder Permit $ 2..00 I iiscellaneous (SerVice/feeder not included) . Each installation ,ump or irrigation ~ign/Outline Lighting ,imited Energy/Res ,imited Energy/Comm E. 5. ~TOTAL OF. ABOVE % State Surcharge % ~ministrative Pee $.40.00 $40.00 $ 2.0.00 S 36.00 3S-CQ /, ':> I,D€.- ':?..,.C>"