HomeMy WebLinkAboutPermit Electrical 1998-12-14
'-
Tile following projecl.. " ......,1 hlI8 the
zoning, and doee not requInl epec!IIo IancI UlIO . ".
approval. ": I" , -.
NOTICE: Zon/lIp ~ '.
225'1)FH'TB!1STREET.':.ffijS" .".,," ~;;,-a5ig.:;~"'!1~,;7"'?:"'i'i~,1~Ti.V <':IC>'I;EI.:EC1'iirCAL1'fpERHtT~:APPr;ICXTION~l-rr
SPRIN," GFI, E Iill;~OREGONIJ9'7Wr~kJ~fJ~~lf!@S,lfl' I1~E'W~aK, ~,~,~'~~~t:i%\a~~;"1?~,: ;;.;n;(jf\;~~';'+'fl'tI;l:M':'g;'~I~'t~~5' ,
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,E' '-," - ." MMEN<l:F.D 0BISIIAl3ANDON'Er-F'o' 0:" .,' :', ,,~'\L ,,;',i,',' ::1I!d;}',,~ (,:i',;<.~,,\" ',"" ,',
..I.:1~-.r\ II' .', ,"'..: '. ':;'":i t"~'-J-"- ;:',".- :,., ':....;.~._ ,~~ 'I\;OHPLETEt'FEEi~SCHEDtruE;lBELOV~ r..:~/ \J;.:"o,"lf
1. ct'i:~dTr6ii"OF=:fNSTALLAT)6NFRI()rC'-""''-'-''''''''-'''--~ -"""-."...""",..;,.....~":. ,"",'.',==;." ==-!:-:':~: ,'\:;tl ..
o"q ~lt.", ~"A-r-rnA]A' (,~u' A. Ne.' Residential-Single or
Multi-Family per dvelling unit,
LEGAL DESCRIPTION Service Included:
i7tJ3/f:>/M ~1/1:1- Items Cost Sum
,1
.
,JOB DESCRIPTION 1000 sq,ft, or less
1...( ')Uu;. ' 0,"". ,.. . [.r~~ n. "'jI--',__~ach adc!.!.tion~_!.,500 ___
- ~ - .' ~ sQ, f! or Donlon
Permi ts are non-transferable /{iEt:lJ.IPtoregon la'tH~PM!f~s you (0,
if vork is not started vi thiWi ~~~l ~copted b~.,o~WiYf41ilihbme. or
of issuance or if vork is ~~U !i!l~'iln ter. Thoslftadl111.welU'~1q'1'i\g
180 days. in OAR 952-001-0010 thrCJS1elMN'l ~13e~der'
0090. You may obtain copies of the rules by
2 _ CONTRACTOR INSTALLATION OJlIly!ng the centea !NcgilrlMc\!!!8Mo~eders
, number for the OregonIlR~ijM.l1lil!!f:i'b1t\OlAl t era t ions
Electrical Contractor~~J f~~~2Re~6d8tion:
Address Dn ~'!\l clSi.'\i 200 amps or less
. 201 amps to 400 amps
Ci ty r- ..LU\,O... ~ _. 0.Q, Phon~t\.~- \ ln~' 401 amps to, 600 amps,
\ Ltl'-1:l};L 601 amps to 1000 amps
Supervisor License Number 1~0\~~ Over 1000 amps/volts
Reconnec t Only
Expiration Date \n - \ - 0 \
Cons t r Con tr. Number ~').. <;< (JID I
Expiration Dateq - l<..\-- 00
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders'
Installation, Alteration or Relocation
sign7ture of Supervising Electrician
7.~r.4-...- 0jJj}.en-
Ovners Name t\...lnR:i'H\~-r LAslT;!2{\J. IT
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000VOIts see fIB" above
D. Branch Circui ts
.
New, Al tera tion Extension Per Panel ..
or
Address :)~
City
PhoneltJl+ - c'\ ~~'tL
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit :\
'-L-
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
forsale,'lease'or rent,
- E.
Miscellaneous (Service/feeder
-Each installation '
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
eners Signa ture': --
DATE;-------Ti-Ti4/ rr:- r---
RECEIPT If: O:)~ -"qs U
RECEIVED BY: ,,6.l/ /~iWI"""
- - .!~::.,.. .~~~~ .
5.
SUBTOTAL OF ABOVE
5%.State Surcharge
3% Administrative Fee
. TO'rAL
'~~S:j'
~..
,
; ~~... -~
$35,00 ~s."""
to d--V
$ 2.00
not included)
$ 40.00
$ 40,00'
$ 20.00
$ 36,00
%0>-0
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