HomeMy WebLinkAboutPermit Electrical 1999-9-20
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WdES:T0 966T~~T-90
The. fOllowing project as submitted has the following
zoning, and does nol require specific land use
approval.
Zoning
." "'"'1tICAL PERlfIT APPLICATION
l;HY Job NUJ1Jber qC:;(J7
\
Cr
q~~f'.~qq
q
V 3,
A.
1000 sq.ft_ or less
Each addit~qnal 500
sq. ft or'~6l1~
thereof TNI.~~':t::.: $ 15.00
Each Hanu~~ !['IlOmlfMlfS
Modular '~,!lg,- HALl.. E.
Service ~~ed~D UMDt, Xf/"'fJjP9H~
AA, fNCfDO filTH/SpE. '-' VVORI(
B_ SenicR" 'oi'~e~s R/SABAN RMrr/SN
Co Inst"Uation;-AjlH,fll:trjons DONED""' Or
F.lectrical Contlractor../iAliQJi.Al rI6i.FJ:t.~or Relocation: --'''QV. rOR
Address 'J... ~ IJ W 5Th 200 amps or less $ SO.OO
/ 201 amps tu 400 "'llpo; S 60.00
City EIAGENE Phone l{g'5-3S('~ 401 amp'S to.l,6,ti<llamps. $100.00
"'11 IJ.-:r 601 amps t!'uJt~or!'!!lp's. ~ ~JUS130.00
Supervisor License Number ..< b -n- 1\ j; Over lOOOili,:mp's/.voJ,ts. "HJOfl,^ $300.,9.0 _
t!JO Reconnecb61nlY/9S2 t;fiN~. :.0 IS' .'!P._OOJI/t,.. , ,,'
E~plration Date 10- ~ I .90. Y:0" -OO'.n'hr. hOSE ~ ~ UregOr'- --to
C_ Temporary S~",y,~c.~S>(,!rC!,~l;edet;~i/' ~Ies clre . UI,ltly
COnstr Contr. Number~ 3vt,I/l In.stalla(ll!on~ Alteration/,or.(,RelocaLilln<i€IIOrtl
3 .., ellorth"'/ler. (/\J~ /.JieSOI,;'t1S2-00, .
Expiration Date - 5?' - 1.. 00/ 200 amps"or leSs~:",~Oref\n., ':$:'4Q~Q~~€rUIBo .
. 201 amps to 400 ....ps~, ."n., (.S/i~5., l)l)'/OIIO"", 'y
~i re of Supervising Blectridal' Over 401 to 600 amps -'~"'S.;ag,.90f/Ca&-
. C /1 Over 600 alOps or 1000 vO.lts see UB" aboVe
_",""'" <: flr;~~/ab/,cSbd!JS" "",",,, , ,
, t:.....2~ '/1/i }' -I- Nell, Alteration or Extension Per Panel
Address) "- / ,~ ~ -1
4'. I. J I (/ /~,? '/;:- One Circuit S 35.00
City (, ry;g ( f IOPhone 1.17 -({U '/..) Each Additional
Circuit or lIith Service
OIlNER AU.ATION or Feeder PerlOit S 2.00
225 FIFTIJ ,,<nLJ:..
SPIlJliGFIELD, OREGON 'tllt17
INS<~~.~uN REQUBST' 726-3769
OFFICE: 726-3759 Authorized Signature
L09\TION OF :mSTALLATION
6.../'< I'\AIN Sr
r 1t'f.!:<~ft'() I D D
1.
JOB DESCRIPTION
JIic;TALL FIRE ALARfTI
s~
,
.
Permits are non-transferahle and expire
if york is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR DlSTALIATION ONLY
The installation is being ~ade on
property I nwn YhiCh is not intended
for sale, lease or rent.
owners Signature:
~TE' 7 iTd. Lf'7 -
RECEIPT ,: _ If> ..,''-,({J h_
llECElVlID BY. X 71'1 '1. -
~oOfill
'lIl1S 'ABO lMdS
COHPlEIR FER SCIlllDUlE BELOV
Nev Residential-Single or
Hulti-Fa~ily per dvelling unit.
Service Included:
Items
Sum
COst
S 85.00
E. Hiscellwleous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightinr
Limited Energy/Res
Limited Energy/Comm
5.
sUBTOTAL OP ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00 -
. S 20.00 -
""L S 36.00 -
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to:9l 96/Ll/90