HomeMy WebLinkAboutPermit Electrical 1994-12-28
225 I'IF1'Il ~;'1'RI':I;T
SI'IUtlGrI I:LIl, OIl1,:GON
INSPI!C1'ION REQUI(S1':
OFPICE: 726-3759
approval. ~U
'J7 I, 7'1 , Zonino
n6-3/~~/Z-z.%,~r:;t.f City Job Number "9V/~?"'2-...
Authorized Signotu:e_ J:lIkOMI'L~TI( PEP. ~CmmULp. np.LOII
1. LOCATION 01' INSTALLATION *
J'/ V 7 A-?/9'/6Y" ~. A. 'New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included: '
J? -d>? -"3,&-3/- O~-c::> Items Cost Sum
,
"-,
Jon DESCRII'TION ~
j~7j./~ ~ ~='''''/ f - ~
'w/l7#?Z. ~ .. .) r,
4rmi ts a7c' non-tl'ansfernule nnd expire
If work is not stnrted within 130 days
of issuance or if work is suspended for
100 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 35.00
$ 15.00
$ 1,0.00
2. COlfl'RACTOR INSTALI.ATION ONLY n. Services or Feeders
Installation, Alterations or
Inectrical Contractor ,/, H ~(c("'-'-(>,:r- ;:.,. <Relocation:
Address, ,~c;t'7 C;',O ill itf-f/'C.'(', /;". ,12 I).
. C:' ~ /,",,, ,~l, . I" ~ '-~ c~ .
Clty I"'J~_r.r"'r.f"'+"/I'~I/J/lhonc 7.......--c~,.- /-<?' y.?
. J. . '-"./ c:-
Supervlsor LIcense Number ~ "-:"0 -,-'
EXpir?tion Date
/r: /v// ';;,-;-'
Cons t r Con t r. Numbe L'
<? (~,
.>):. ,'---C")
- >
Expiration Date
"<;1 /'? / s: -~-
/ _"_ c'_/
:i~Z70f Super~i~~ctrician
't.AA/ /~~
L/ /.'-..../ ---
Owners ,Name f{ji/oyd f1. D.
A(ldress ~6-
-I
City :5~ ('hone ?y,,?-%'ry
OIlNr.R INSTALLATION
"
The installation is being made on
property I own which is not intended
(or sale, lease or rent.
Owners Sicnatllre:
---------------------------------------
DlirE: . /~-2R-.yC./
nECEII'1' A: ._"L5"S"-S- ~
HI,:n:TVI:1J ny: ~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Ove! 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over ~01 to 600 amps
Over 600 amps or 1000
$ 1,0.00
$ 55.00
$ 00.00
volts see "D" auove
nranch Circuits
New, Alteration or Extension Per Panel
-
$ 35.00 ?"'>. ~
One Ci,rcui t
Each Additionn1
Circuit or with Service
or Feeder Perm; t '"3
~
$ 2.00 6. ~o
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 1.0.00
Limited Energy/Res $,20.00
Limi ted Energy/Comrn' $ 36.00
5. SUDTOTAL OF AnOVE' -y/. --
5% State Surcharge 7'~ :.(. C';)-
TOTAl. r~ /.27
4111. =<~