HomeMy WebLinkAboutPermit Electrical 1997-12-19
r
12/01/97 13:18
'5'5.26 3689
SPFD DE\'. SER.
'.
IiJJOOI
~. ,.~.
qf).\ ~4L{
...,';' .
O,',,'V'
225 FIfTH STREET
SP~GFIEUD. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
flU'
2:.;,'1>" \.....
o \J-~Jg~cq.
AlJ.nr.......d, ^^"
97477 -. -'"".'.'0 I 11 "
726-3769
EL.EC'l'RICAL P&RMIT AfPUCATION
C1ty Job N=b~r~ ~-~~
3.
1. LOCATION O~NSTAL~TIO~' ,
~~:::s ~, ~, IJ. PL/lJA.
-, 'O~-
. LEGAL JlE\~J;,ON ,--.r,
\1\ '[)~. ~ (J \ \l.A )
~J lOB QESfl1IPTIOIi IL ' , 1000 sQ. ft. Ot" less
y.:JILo x?;['tLfT~ T.ilMNJ ~ Each additio<lal 500
sq. ft or portio~
Permits are non-transferable an eKplre thereof
if vork is not started vi thin 180 days Each Manuf'd Home. or
of issuance or if ",ork is suspended for IV", 1'\0dular.'D",elling'
180 days. -% "'J>i!ervice or Feeder
2. CONTRACTOR INSTALLATION ONLY ~v~jr~~~~vicQS or Feeders
~Y: ?J1,pdJ;,. ~a ~'~ftallation, Alterations
Electrical ContractoLJ\<e6VI ~~~ r ~location:
/} J:? .r7, I/A. '1<(
Address (f,O. ooJL 57.4. 190<2 ~Om~f'{ar less
l-/', J r\P 97P3(.) ~r ~~400 al:lps
::'1 ty!(..f-1JM1'I/JJnL"'" Phon~'&'c;-::.. 9Si0,o~4 .-t~~o ~~mps
CO ~), ~ ~~ am;>s
Supervisor License Number ..$7 it c3' O.)€r r ".am~1 ~s _
/ I Reconnec(~lY{s>A. 19-t
Ey.piration Dare /Of..pII'1'f<' ~a '''0)'
( ( C. Tempora.y Ser~ces o. Feeders
Constr Contr. Number 5';}';2. '1% Installation, Alee.ation or Ilelocation
EKpiration Date ()I/,).O/tff( 200 amps"or less S 40.00
/'''' 201 amps to 400 amps S 55.00
Signature of Supervising EIzct 'ci3O Over 401 to 600 amps S 80.00
/" / Over 600 amps or lOOU voLtS see "B" above
~r~ / h-?~_ -
O'.'ners Nam. ~. $ ~
Addrestc25D.3 ,,(
Cit'/TJ11r{1 Ph~e
Olll EU;;;;ALLATXON
COMPLETE FEE SCHEDULE BELOV
Ne'" Residential-Single or
Multi-Family per d'.'ellint unit.
Service Included:
Items
Cost
Sum
S 85.00
S 15.00
S 40.00
5 50.00
$ 60.00
$100.00
$130.00
5300.00
$ 40.00
D.
Branch Circuits
.'
Nev, Alteration ot" Extension Per Panel
One Circuit
Each Additional
Circuit or vith-Secvice
or Feeder Permit /
/
S 35.00 .35'. OV
$ 2.00
~.oo
.,
E. Miscellaneous (Service'i feeder not included)
-Each installation
Pump or irt"igation S 40,00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I o'.'n vhich is not intended
for sale, lease or rent.
O""'er's~signature:
D~~s~--------------~-jf~~~-;r------
~~~~:!n~~v.~~
5. SUBTOTAL OF ABOVE
5~ State Surcharge
37. Administrative Fee
TOTAL
~7. tJ?)
Ik.s
_1.,)/
.51,11:..