HomeMy WebLinkAboutPermit Electrical 1999-2-10
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225 FIFTH STREET ill. nln LJIr& sP: i)iI CTRICAL PERMIT APPLICATIO .
SPIUNGPI'LD. OREGO- 97417 " ., ~'%"'" .~'t:t~ ~n'0
~~i~~IO~2~~~~T: 726-3769 &(j SlgnillLJI. Ci tY'sllo Number *~'" ,""
1. ).()CAT!pN OF INSTALLATION '
_' 00 HYJA~N 5'/ A. Nell idential-Single or
Multi-Fa 'ly per dllelliog unit.
LEGAL D~SCRIPTIOl!_ "()~~ Service Included:
~--t..' / \f'\b~~~--=)\ \ }'-'\l {~ ) Items Cost Sum
,B. Services or Feeders
Installation, Alterations
Elec trical Con trac tor ADT SI'<:J.1d..~l)'" "\-Jgon law !\9~\R'1l'1'(l1!alPion:
AI [EN11 ..'_. db the Oregon UtilIty
Address L50~~1 ~~ tollow rUlesadopteT!nJse r~QQ E'lmpst \)\f\~!less
NotiIiCaIlOIl\..",,,,_1., J.9'Jl!l~tj:isHa1400 amps
Ci ty EUllene , Phon~4~'l5frQ01-001? t~r~~;;i9!t l}!I!P.SlIE1!bb'600 amps
0.090, You mavotta1n ote,qR~te;Q!l!aoltio 1000 amps
Supervisor License Number ~,\\1e center, \N u~' 1'fi~f,ldlmQt\amps/vol ts
. ,number IoriO", .Jregon , _~g4\!llj!c t Ooly
Expiratlon Date 1D/OI/Qq CenteflS 1-800-3
, C. Temporary Services or Feeders
Installation, Alteration or Relocation
N.OTlCE' D. Branch Circui ts
-, .
1/' '.1 .'''''->I''ERMITS Nell, Alteration or Extension Per Panel
Address J-7 ?9' lLJV', vI'/> r , nf fr,9,,,,~.~,- ~ HALL EXP1Dc
" I'ro., ",-cD UNOEOne Ci.rl[ulltc WQ
Ci ty ~l/"",-..L (J(l.. Phone s'-i (- ~ 1.fq'-r'n'161 C n Ea'~iiSA-ddi tionalRK
1', ' " >'1 is ACircuft"'or I~ilth- Service
OVNER INSTALLATION A (PI' RIOD, or' 'F~.rdirr.c,P,~rmi t
JOB DESCRIPTION
Alarm I~11o.<~"
Permits are non-transferable and expire
if lIork is not started lIithin 180 days
of'issuance or if lIork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Constr Contr. Number 59944
Expiration Date
If /2-9 /90/
Signat~ of supervl,'sing Electrician
U/f4e-: ~-
Olloers Name [306 G(dt/C..
The installation is being made on E.
property I olin IIhich is not intended
for sale, lease or rent.
Ovners Signature:
..,.-
-7JG~~
D~E~----~-~- - -
~
..
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
200 amps' 'ot' less
201 amps to 400 amps
Over 401 to 600'amps
Over, 600 amps or 1000
volts
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$55.00
$ 80.00
see "B" above
.'
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder,
-Each 'installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
1! Anministrative Fee
$ 40.00
$ 40.00
$ 20.00
f $ 3a) ) C.
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