HomeMy WebLinkAboutPermit Electrical 1998-12-28
rhe foI~ ~ as~bmitled\tiaalhe~
zoning, and does not requlro opeOJfic land lIGO
approval.
Zoning Ce.... . ^'OT/,..,e...
)4 JOB:b3-al'~.
DlIla '?c; "TIT" STREET /d.-,.tj'I/SPERMIT . ELECTRICAL PERMIT APPLICATION
Author~MIi,u;LD, OREGON 97477~JT SHALL EXPIRE In ClV/562.
IN'spfCTYiJ.. """\,jUL.)L 7l.v-J,6. HORIZED UNDER TH Hef.l'{9Ro;ob Number 10
OFFICE: 726-3759 COMMENCE IS PERMIT IS Nn ~
INSPECTOR PHONE 541-726-3663 AMy 18n D OR ISIiJ~4NL~,~lJ..E'IEFEI SCHEDULE BELOIl
1. LOCATION OF INSTALLATION DA Y PERIOD 'u I-OR
5703 MAIN WASHINGTON MUTUAL 'A. New Residential-Single or
LEASE CRUTCHER LEWIS (CONTRACTOR) Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
Ii 02 '3.3 4/ O:31itJlJ THURSTON, OR Items Cost Sum
JOB DESCRIPTION
CIRCUITS FOR COMPUTER ROLLOUT
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
QUESTIONS?CONTACT MEL JACKSON
2. CONTRACTOR INSTALLATION ONLY
TIM STEVENS
Electrical Contractor CHRISTENSON
1000 sq. it . or less $ 85.00
Each additional 500
sq. f t or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
ELECTRIC, INCQr Relocation:
.'
Address 111 SW COLUMBIA, SUITE 480 . 200 amps or less S 50.00
~!.;I;&;; 201 amps to 400 amps $ 60.00
Ci ty PORTLAND OR Phone 503 24lttJ~.rIOIV:OIt~n<Jmps to 600 amps $100.00
lVotlflc lJ/e,laaotf!9;' all&'self@re1F,OO amps $130.00
Supervisor License Number 873S Inn.qRa:nCenteP.'fflYtfMJf})r~!i,e~{JfjfJ:.ts $300.00
, 0090 Y, 2'OOI'O~O'j/8IiR~es\M\1~ Wity $ 40.00
Expiration,Date 10/01/01 A :. OlJmaYobt hroughOA,/1e etfonh
.3.11\I~rhe~ lI'e~li"f.til~~~;r~.or Feeders
Constr Contr. Number 26-34C IJUf1lb"'forthe 6erlfNAtalitiG~tP.~hU~1l~ation or Relocation
05/01/99 Center Is I~YtifityN ,:f. one
Expiration Date -~~~8rl~~~1 $ 40.00
201 amp~o 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps Ot- 1000 vol ts see "B" above
.'1'.
Signature of Supervising Electrician
~ '"C:> -;:,
'-.-.:..-- "':'-:-"~ __C"' ~ Y.J"> ~ ~~
.J D.
Ollners Name W15J"Na 73tV MR flA.J
L ~.~
Address I L9 ISC~N1) . h!/Ei
citySii-1-rnE Phone Zbf,- 'f{./- 8'trt-
OIINER INSTALLATION
The installation is being made on
property I own IIhich is not intended
for sale, lease or rent. .
O\Iners. Signa ture:
DArE~----/~;r~1r71-~--------~--------~
"""'''t..lt'l iI: (T" 2. 'jP7.0I_.~/
RECEIVED BY: # VVvv-v
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or WIth Servi~e
or Feeder Permit
35.
1
$ 35.00
$
2.00
4.
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
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
39.
1.95
1.17
42.12 I