HomeMy WebLinkAboutPermit Electrical 1999-7-14
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The following project as submihed has the following
zoning, and does not require specific larid use
225 FIFTH STREET approval.
SP1W'I..!il'1I';LD"OREGON 9747Zonin9 ,c.~
INSPECTION REOUEST: 726-37b9 7- l'f - Cj ')
OFFICE: 726-3759 Date _, ,
Authorized Signaturp ~
1. LOCATION OF INSTALLATION
7.2.."60 \-1r>->'"~nh, ~c\.
ELECTRICAL PERMIT APPLICATION
Ci ty Jol'-N~be'r '-QQ'6Q i'o-
3. COMPLETE FEE SCHEDULE BELOV.
o-'Z ?J
:J (') g.~ g1~ ~esidential-Single or unI' t. .
3 ~ P )> glUi fij-Family per dwelling
g or ~ ~ ~ea-~ce Included:
() ~ <0 c: (Jl 0 c: -i Items Cost' Sum
-- N:::J'(O
~~ffi36()C/)O
JOB DESCRIPTION a; SO g ~ ~ ~~O;<;'sQ. ft. or less
1Y'l.",+o.\\ TJ/t:. ,,,,,-y-j,ArY'ol>r"It ':'-.\(-~r> ~. 0<0 a g. 6 EaghSkdditional 500
- - - m-o-..-rof .
Tin;"" !l!. ;5 :..;;~.<g t or portIon
Permits are non-transferable and exp~ z:J SO ;1t{!;ereof
if work is not started within 180 daf~:J ~ g a ~~DH. anuf'd Home or
of issuance or if Io'ork is suspended m>~ ~ "*. J5 ~~J:J.ar DIo'elling
180 days. N ~ i ~ 0 ~EQ1~ce or Feeder
. ~Zm::)> ~:::;.
2. CONTRACTOR INSTALLATION ONLY ~ g. mlg :O~LW~es or Feeders
g-g. 2 ~~@lation, Alterations
Electrical contractorFS.$P\.:S,C\'):t~jlg m bOx:. ~~:iocation:
.J en 00 - 0
:::J Cf......~'<
Address l'2.rCll'\nI-rn.-\r-~\ ~ g ~OO! aiifps or less
. ''''''""\--~ <: s:: :i'lOa? dli!~s to 400 amps
Ci ty Euc:y..oe Phone~6-6541L cD i'fi c.40~ aFis to 600 amps
. g Z ~0'Li:i ajiJl?s to 1000 amps
Supervisor License Number Lj?'5-~\b ~ g fOvifr 1000 amps'/volts
"'tl 0 c;::ie<;9nnec t .Only
mO :J:
:o:ozJ>
o Qn ~e'l'Porary Services or Feeders
OJ> :JlnSilallation, Alteration or Relocation
. CD-lX
J>:J:"'tl
5 QOODamps
o ~lm~mps
Signature of Supervising Electrician i!ii glte~'401
/V _ ~ ~e~ 600
, j( //,rr- >J.w;JY' 0 en ~
. y::",' D;D Bram:h Circui ts
Olo'ners Name So,..: ('\",~.tl F~, ~c.<.- ~ ~
I U n O~ Nev, Alteration or Extension Per Panel
Address J-') yb 1'Y\<I.M'.," 1'-"........
Ci ty ~~h LI J Phone . 71\ 1-<{/57 ~
OVNER IN~TALLATION
LEGAL DESCRIPTION
no3:;t51~ f">1'6"OO
Expiration Date
\0-\-'19
Constr Contr. Number
\ \ \ L'iSlo
Expiration Date
or less
to 400 amps
to 600 amps
amps or 1000
volts
?_ -"2.. - 0 \
'One Circui t
Each Additional
Circuit or Io'ith Service
or Feeder Permit .
$ 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 liB"
,
above
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder 'not. included)
~Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00 ~
Limited Energy/Res. $ 20.00
Limited' Energy/Comm. .' $ 36.00
The installation i~ being made on
property I Olo'n Io'hichis not intended
for sale, lease or rent.
Owners Signature:
----:-~--~--------------------------
DATE. ,-'IMlif?.. ':J!~" ,
RECEIPT"lI: tJ5'1.lrW("'"" " " I
RECElVEP _BY:' , ' .,', 0pJ
SUBTOTAL OF ABOVE' '-1.0 .00
5% Sti'-te Surcharg~;," '. . ,.,2.... OCJ'
, 3% Adniirlis trative]'Fe~ '.: 1,',1, '1'.1 : 1..0
TOTAL" '''..'':~.'".. ..,"-L...... .'2....0
5.
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