Laserfiche WebLink
08/09/99 ]~0N 08:13 FAX 5038733307 <br />FOR CITY U'~E ONLY: <br /> <br />7.mm. 5~: ....... City: .......... <br /> <br /> WANKER- S I LVERTON ELEC, <br /> 3150 I.ancastcr Dr. NE - SmL,z C <br /> S~l~m, Oregon 07305 <br />8:fl0 am - 4:311 pill 24 hr. [nsp¢¢don Line 373-4427 <br /> <br />E-LX5g8.7948 <br /> <br />J~002 <br /> <br /> ELECTRICAL PER.MIl' APPUCATIJON <br /> please eomplera all,~a~tons, l through 5 <br /> <br />I, LOC'ATION OF INSTALLATION <br /> <br /> ";G~,.m-, <br />PERMI'I~ ARE NON-7'RAN~FERABLE AND ~1~ IF WORK <br />I$ NOT ~ARTED ~I~IN !go DA Y.¥ OF <br />WORK LV S~'P~ED ~R 18o DA <br /> <br />2A, CON"i-R.~C'FOR INFORMATION <br /> <br />C:,'a ~t~u.,r Li*-..'n~ N o: O,~-3q3 ~ <br /> <br />S upervis* r l.imr~ N,i: /~0/5 --~ <br /> <br />2~ FOROWNER INSTALLATION <br /> <br /> Prop~rt3, O~er: O~l.'~z~ ~ pH~m <br /> <br />($ 21:3 ]LUo~,lgd NUlUI~T nf lnsr~.liom !~er permit. <br /> <br />$ 3.00 <br /> <br />-~, FEES <br />A l, Eo~r Total F~s from Sectioa #4 r"' $ c~,~ o__o <br /> <br />B, En~r ¢0% of [me A1 for P~ ~vicw <br />C. lnvcs~g~ion F~, it'~uir~ S ~ .... <br />E Addi6o,~[ PI~ Rcvimv (62.Sfldm <br />m~m one-Mll~ho~l [$ <br />F. ~on fur whi~ no fm i~ ~ffimll>' indi~ [ <br />($fi2.5Ofr. minimum one hour) <br />G. lnsp~fion OuL~i~ NO~ BusNc~S Hou~, <br />~6250~r, mJfiimm ~vo hoursl <br />H. Indus~ Plant ($62,5~ou0 <br /> TOTAl, AMOL~T DUE $ <br /> <br /> <br />