HomeMy WebLinkAboutPermit Electrical 2002-6-7
225 FIFTH STREET .
SPRINGFIEW, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~
ELECTRICAL PERMI.LICATION
City Job Number DZ -0 056f -0 I
3, COMPLETE FEE SCHEDULE BELOW
I. LOCATION OF INSTALLATION '\ fL
Z'tl.fll a~c.rt- IJ
2444 Ranch Dr,
LEGAL DESCRIPTION
I 70 3,. 2.H l{ 3, (')C-( '3. 0 C::>
A, New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
, 'It d ~'l.'i,t.l1e !ollowing
The !ollowing prOlect as subml e c!i1/!!1/a'iQ! &eoI' less
zoning, and does not reqUire spe Each additional 500
Q"'''''''''-~. LU{2- r..q ftnrJY'PhI'loA
, c-~l d ,ZOlllng th f
Penmts are non-transl~"W e an exprre ,,_ 1 _ c.> 2- ,ereo _
if work is not started within 180 ~te ~ Each Manufd Home or
of issuance or if work is suspend~onzet Signature r,;",;u;'" uwellrilg
180 days. Service or Feeder
, ,
D, Branch Circuits ,,)': ", ,\
....\'.,
New, Alteration or, EXtension Per Panel
., ".' ~ ," t.,; 1 . "':,\''.';~\\,"
\.':"'~ c.U" ~C '"' ,.,..' i'l
same " 0lte Ciicuit~0 ~ ~(...1;- "'-J'\)
~ . \\ - - :.l'\ . ..~\~~ ,...,?'f?~ :;". A' .
Sonnafield. OR 97477 Phone 747-5223_. '.:; ~'''~, ,.\~~~i1d~t\~,~t':cult ~\Wlth Sel'Vlce
-,'..' _'.") .',orFeecter'Permit' \P~'" ,~\c'<>
/." ,'e;. _ ~\.t; ~(j"'" ~,v..,- n'lfjl ".i'C';'\;
:' ""I:'"C,:' GO '!0cQ, .~. ...'0""
"J" '_r >OE..M~CeIl""'1ouS ~S~iCl!tfeede,. not included)
',r'\.\\\".-\ 0'~IV A'\n.~} ... r:.!':Ii. .......~I\lan-'...~ r')~.:J'
.,,) ......, J '.\,' -c.cu.; tOS\GJ on
, Or' ...'''''u\. ....cl: .("\'('.-.'.j ~_LJ
\':> ('C!. 'P'!!'"P or,lmglltiOll\'
"v" \\\-:'\'';' U)~ S':griI" -O'~ I' L'gh'
\.J ,.~\. ....'t' 1 . ut me I tIng
v~.., ,,!,\1. -
(\Q.<$' C~Limited EnergylRes
. Limited Energy/Comm
JOB DESCRIPTION
Service change/addition
2. CONTRACTOR INST AlJ.A TION ONLY
Electrical Contractor JB ELECTRIC, INC,
Address 4685 Isabelle Street
City Euaene, OR 97402 Phone 541,687,5770
Supervisor License Number 3872S
Expiration Date 10/1/04
Constr Contr, Number 37587C
Expiration Date
10/1/02
Sign
Owners ame
CD Miller
Address
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
190:~3IHSI;l8
: 39NIJH8
OL'68 $ G:Q83~ 1WI;I
G006 La I~nr: 311;1Q
Gi?i?6Ci~J~ ~g~~'p
B. Services or Feeders
Installation, Alterations or
Relocation:
cca
104929
3/14/04
5, SUBTOTAL OF ABOVE MINIMUM
7% Slate Surcharge
8% Administrative Fee
TOTAL
Cost
Sum
$106,00 $
$19,00 $
$50,00 $
$63,00 $ 63,00
$75,00 $
$125,00 $
$163,00 $
$375,00 $
$50.00 $
$50,00 $
$69,00 $
$100,00 $
$
$43,00 $
5
$3,00 $
15,00
$50,00 $
$50,00 $
$25,00 $
$45.00 $
045,00 $
$
$
78.00
5.46
6,24
$
89,70