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HomeMy WebLinkAboutPermit Electrical 1995-05-18SP}. .iFTELG' The prcjact does noi requiro s;.rnir I f .i 225 FIWE SIB.EET SPRINGPIEID, oREGoN 97477 INSPEGTION REQIIEST: 72 0FFTCE: 726-3759 1 LOCATTON OF INSTALTATTONb?q du tnct /{ ON JOB DBSCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CO\ITRACTOR INSTAII.ATION ONLY Efectrical- Cont ractor SonitrO I Securit v I Address P.O.Box 21 009 Ci Eu ene Phone 461 -5678 t,:r,,:,j--fu--D<-* ELEgrRrcaL pERurr AppLrcATroN 9tE-City Job Number 5C SPr- SCEEDIILE BELOS Nev Residential-Single or Multi-Family per dvelling unit. Service Included: I tems A Supervisor License Number l'-70'-lLE Expiration Date Cons tr Contr. Number 65'149 Exp iration Date 6-28-96 Signature of Supervising Electrician n hA fl4trc-.^;r Ovners Name c.Temporary Services or Feeders fnstallation, Alteration or Relocation 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voTIs 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401, arnps to 600 amPS _ 601 amps to 1000 amps- Over 1000 amps/volts Reconnect Only One Circuit Each Additional Circuit or vith or Feeder Permit SUBTOTAL OF ABOVE 52 State Surcharge 3Z Administrative Fee TOTAL B D Cos t $ 8s.00 $ 1s.00 $ 40.00 $ 3s.00 $ 2.00 &60 Sum a66ve- @ $ s0.00 $ 60.00 $100. 00 $130.00 $300.00s 40.00 $ 40.00 $ ss.00 $ 80.00 see ItBtr Branch Circuits Nev, Alteration or Extension Per Pane1 Address Ci ty t-*/t1 ? Phone r' '* -ao4- OSNER INSTALLATION The installation is being made on property I ovn vhich is not intended for safe. lease or rent. Osners Signature: iiis-.-5>7K>- Service E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ sign/Outline Lighting- $ Liili ted Energy/Res -7- $ 40.00 40.00 20.00 36.00 5 /oz60{ CITY OF RECEIVED d/,bo / - qL-,