HomeMy WebLinkAboutPermit Electrical 1998-12-28
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02111/98 10:22
'5'503 728 3689
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SPFD DEV. Shl<.
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rho fOl/oWInQ pro'~t. .
ZOning, and '.Joe J as submitted hils thofol
nppro'Jal.: 8 not require cPeclffc land UOo
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225 fiFTH STREET Dote n( t . 'b .
SPlWIGFIELD, OREGON 97~S1 f'l
INSPECTION REQUEST: 726-3769 gDatu", "^-
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5"2.? I h?A' 'l"Y ~7"
,
LEGAL DESCRIPTION
J?-e!gZ.- 3~-"Oof I c::::>72~.
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JOB DEsqIPTIOL _ i .
.~~,~~ .~174V~~~
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Permits are non-transferable anp expire
if work is not started within 180 days
of.1ssuance or H work is suspepded for
180 days. !
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2. CONTRACTOR INSTALLATION ONLY
, M7'"",J;..;:/
ElectrIcal Contractor ~~~~z-' .
Address d/7> kf 2~A.y,
City ~/VK.f_ Phone :?Y~-7Z.'77
Superviso~License Number ~~~-;>
/ D/9'l
/7 z..sZ
/D/9,7
Expiration Date
ELECTRICAL PERKIT APPLICATION
City Job NWllber~/~~9
3. ~KPr.zr~ PEE SCHEDULE ~ELOV .~
New Residential-Single or
Multi-Pamily per dwelling. unit. ,
Se.rvice Included: "
Items Cost Sum
. A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular'Dwelling
Service or. Feeder
.D.
Services or Feeders
Installation, Alterations
or Relocation:
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
/6e>
....Je
200 amps or less ~
201'amps to 400 amps --J--
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
Installation; Alteration or Relocation
Constr Contr. Number
Expiration Date
Signature~f Supervisi Electr~cian
. ~~
- ...~ -:;... ~
ovner~e_ ~~~ .'.h?.-~~/...".
Address PeP~.K 6 '7
Ci ty -?~FQ/ ~ Phone ?:2',k. --!". '-""::>
O~ I:ST.K~~ -
The installation is being made ~n
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE:.~/6 .;;2...g-:JJ8
......"AU!"!..W: -:or-:- ~ 9'2.
, _.J:
RECEIVED 'BY: ___ L - R- ,...
//"
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 ~
$ 35.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or.irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% .StateSurcharge
3% .Admlnistrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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