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
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Permits are non-transferable and expire
if york is not started Vithin 180 days
of issuance or if York is suspended for
180 days.
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U~1l5' ~7 U9: 19
tt50a 726 a66~
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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
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