HomeMy WebLinkAboutPermit Electrical 2002-6-17
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JOB DESCRIPTION ol\"s\l\e~~QIl'llq. ft.. or less
Mobile home heat pump .< S\lIl<1\'\\:?ec'lic \"Each additional 500
, r\ 9{O\e,",'~\ t0t\u'''' J..i s portion
^'\\l.""(\~ as (\ n ~
Permits are non-transferabl~exp~ 00 I"'. the
if work is not started within I~\. hMan Home or ,,?,,'
11,,0': (\'(\9 I\' ,0 .~,,, J~
of issuance or if work is suspe .000 for 1-0 1- ar Owe mg ~~J" \)~ ',a\' ,
180 days. ' I Service or Feeder.-(' ~a~ c,0'-' (\<)\ ,\
o...\e $'9(\...""e ,..~.J o~'!, ~0 '?,~q; 0C, v.
,.a't- '.' ",0 ec' ~ ~ 0
2. CONTRACTORINSTALLAJ:U>>fUNLY B. ServicesorF~~. ,~ O'?' 0~ 0"', ~
Insta)I~\.~i1, ~rernltOjis OJ-'S'~0~~,v~O
Relocation:''<0 ~o '~0C, 0 "" o~
,,- ~v :-.<<-" \C) '" va~ ,'S' \~.~.
..". .\.e':J".. e~ R)() ;"\\:- 0\.0' ~') o.;W'
\' \ ~'200'ainJis' or,less ~ ~ \S n;l,
J'~.:vi2olsafiip.st;;'n400\.niP's~!'!' .
" ."'~ v. <.,'- rc." !:'\,- n\"
~o~ ~40-1@D~..::,to~~~0:~ps
. ,<:'- 0 RJ6.ok~p,s,!.O ~90 amps
,<.:5 O-"er),jIOO,:91Dps/volts
RecOnnect Only
f;:j~~
C, TempOraryServicesorFeederl\.~~ ~'\:j'\
&'\'<' ~ ~
9.~~ l~~~ ~'\:j~
200 ampS~I~ ~ ~ ~~~
201 am~ ~:'S
~'\\~it~~~o volts see
~'\~~ ~ ~~~~~ ~~
D. ~~~~
\;J~i,., ;o.tteration or Extension Per Panel
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
225 FIFTH STREET e
SPRlNGFIEW, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. WCATION OF INSTALLATION
5751 Ridge Cl.
LEGAL DESCRIPTION
1'l'()L6C1 II
07 z.o-O
Electrical Contractor JB ELECTRIC. INC.
Address 4685 Isabelle Street
City Euoene, OR 97402 Phone 541.687,5770
Supervisor License Number 3872S
Expiration Date 10/1/04
Constr Contr. Number 37587C
CCB
104929
Expiration Date
10/1/02
3/14/04
Signt}fZu ising Electrician
. .~
j,
- Nti76,.{
Owners Name WiI!';on
Address same
City Sorinofield. OR 97478 Phone
The installation is being made on
property I own which is not intended
for sale, lease or rent
Owners Signature:
JB Job # 02-382
ELECTRICAL PERMW,;.iCATION
CityJobNumber 02-00 703 -0 I
3. COMPLETE FEE SCHEDULE BEWW
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
TOTAL
~
TRANS#:01-0009612
DATE:JUN 17 2002
AMT RECD:2 $ 52.90
CHANGE:
CASHIER:061
Cost Sum
$106.00 $
$19.00 $
$50.00 $
$63.00 $
$75.00 $
$125.00 $
$163.00 $
$375.00 $
$50.00 $
$50.00 $
$69.00 $
$100.00 $
$
$43.00 $ 43.00
$3.00 $ 3.00
$50.00 $
$50.00 $
$25.00 $
$45.00 $
$45.00 $
$
$
46.00
3.22
3.68
$
52.90