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HomeMy WebLinkAboutPermit Electrical 1998-9-11 11/01/84 U8:4~ -QW:)UJ .,~" JD~tI .tt. ;:,rru JJ&". o:..t..l\. , , , ~.vv" .-~~:'~~--: . ..~. . . ,\:-:) ~'<-.:t"}]1 . ':.~": '. I -; , ,~ ", '. 225 UUQ STREET SPRu",d..LELD, OREGON 97477 INSPECTION REQUEST:. 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION 2. CONTRACTOR INSTALLATION ONLY Address 7$40 SItV' LAN DMA RK LN. Constr Contr. Number, 00"'+0 14- .1 . ' Exp1ratlOn Date 1- ,o,n - .9~ Si"'~~~'~"''''i'' Owners Name D"r- /'01 E-1E-R Address 7.31-o,Sw LA r-lDMARK LA" Ci ty TI,(' ARD. ORE Phone Ir;o'>,\ (,2b-f?:2oo , ./ OWNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Qvners Signature: DATE: ---q:/,.q k ,~.~ RECEIPT *: / p \ ~/00 '/ RECEIVED BY: ,7\ IL)~ ../ '~~~~~,.-, .~.~,t. . . "".,. . . :?::t::~:::,~' ~ .. ," ~ ,- ..~." S..RINGFIELD . ~,- ~-. ELECTRICAL PERMn' APPLICATION City Job Number C\f)\m n ," ., 3. COMPLETE FEE SCBEDULE BlLOV One Circuit Each Additional Circuit or with Service or Feeder Permit Sum , $ 85.00 $ 15.00 $ 40.00 10" HAF>~oW f>.D. A. New Residential-Single or (\r-.fl1.tN6.....,rf).~ "I1-,gulti-Famlly per dwelling unit. LEGAL.DESCRIPTION \. 1U:>l.hD'QI'~""li, '0//0 se,~ice Included: PAC!.IFlcCO"'rIN"-,...rAL-~ANt<. . 00b~lj,I'II!./OJ\l. Items Cost' 0. O"l.(;.'~'io e.s' <l . q'19 JOB DESCRIPTION OSo }/sleClE} ~1t'l}L lr less .<11/-1'1 IN.5'lrAl-l-ArION (ELECrR\CA~C'q/~i} OIl~"~ojl.'?1&j~i~ 500 , - 11"'6 '0'11 ~ 0d!JQ. 6~J lsrbf~ Permits are non-transferable and expire er,o/CfI#. 11'11 I'll!. "'e~ ;Syo.. if work is not started within 180 days C'el}l'. .v~ iSDIl\08~~.'o of issuance or if work is suspended for ~el'i III ~ .s'e,;1ty 180 days. S'l z:~ ~ff.?:tl o'll> ~ 1qty &/&.0 I'%.s V7_ B. Service~~J\I~~~ 6y Installati~, A~ations Eleetrieal Contractor ",,",,-{lOR ,~IGN Co. (oRE/1NC or Reloeationl 200 amps or less 2~1 amps to 400 amps City TI'cARD ORE... Phone(solb20-P;Zoo A4q~~p's to. 600 amps - " .<1 16.o1-~ps to 1000 amps Supervisor License Number ~"i~ S/& 0. '~'-'OVl!~<~OOO amps/volts -f;J <.;,;" "'<;l\e'c:onn'ec t Only Expiration Date I~ - 10 3>1 "1" ")-~;<- ~~... ' .;:,~c:-:~, T~poaary Servi ces or' Feeders <~ ~Ins~ar~~tion, Alteration or Relocation :t-^'''~ '<:?~ ~ ~700s~~ less $ 40.00 2~1 itn,p%>t~OO amps $ 55.00 Over -~.oJ.' "Q ~O amps . $ 80.00 Over 60~,a.l\!ijs~ 1000 vOJ.ts see "B" above ',& ~.... ~ D. Branch Ci'i?ty1e~ %- ?> 0.... New, Alteration 'or Extension Per Panel $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' $ 35.00 $ 2.00, Miscellaneous (Service/feeder, not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res . Lind ted Energy/Comm E. $ 40.00 'f .-') $ 40.00 $ 20.00 $ 36.00 ,2f)~ ~ 5. SUBTOTAL OF ABOVE k ~ : _ . _ C> 5X State Surcharge ':': : ~ . c..) 3% Administrative,Fe~. ~ TOTAL '.. ji? '" 0, oJ' (7 \2D.oO -\o.CO '3. 100 \ Q.. C\ ,cP