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HomeMy WebLinkAboutPermit Electrical 1997-9-23 Zor.ir,p \cLV R--~ Dctei4_c'---1-~~/)' ,\~~,:~(j ~O'\ A' "h"';Tl')-l m"';'T~,f (\ rY\ ~ ~ ~ ,CO ~;~~~~E~, O~GON 97477 y.:~~ <?~~~ ~XO<<-- INSPECTION REQUEST: 726~69 ~'t-\'\' ~'\~t:O ~O~~ OFFICE: 726-3759 ~\c:; ~ <0 ~~ ~~~ ~PT .~~<<--~ ~\) \J~ ,t:O ~ 3. COMPLETE FEE SCHEDULE BELOV 1. LOCATION OF INST~~;O~1) ~O<<-- C\). a I /(::;, roLe eLhJJ -/Oil ,~~(j ._~\.G~ r,y<fl A. New Residential-Single or I . ~\.J ~'(,'\- ~' . Mul t i-Family per dwelling uni t. LEGAL DESCRIPTION SJa~ ~~{J~. . Service InCluded: ~(o.e.JJ (l to 17 0 ~j~7 -o~ 0/7 Items \ Cost JOB DESCRIPTION , J.J { 3 t>\1 1000 sq. ft. or less $ 85.00 'IrJ (flo t4 it.. (1.J)rJ o. p 0-; 1-'1 -I. Each addi tional 500 sq. ft or portion thereof Each Manuf'~ Home. or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not staited~ithin 180 days of issuance or if ~ork is. suspended for 180 days. ELECTRICAL PERMIT APPLICATION Ci ty Job Number q7 J ~ I ~ 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders Installation, Alterations Electrical Contractor)c:JP.IJ"?677L128 0M..ff(;f-yt'llfor Relocation: Address (/, Qj 16,10 ~ (/93/ 200 amps or less c 201 amps to 400 amps Ci ty ?;LLq ~t4 ~~ O. R Phon'e05b /b..2~ 401 amps to 600 amps j 601 amps to 1000 amps Supervisor License Number ~ Lf 5'J <) Over 1000 amps/volts Reconnect Only Expiration Date 10-1 -qi> Constr Contr. Number 7;(;~ Expiration Date\J~.: -;)7 ~97 , - Signature of Supervising Electrician V; -'- ~ ..J c-UL-. . Owners Name W f4.e.(fe.IJ f)IX f\)J ...' i Address:;}l Jq lJk-e'l(~-f h '-( . Ci ty $fl:l"-'7 f' tl'II!J Phone jL!,:...9J ,70 OVNER INSTALLATION The installation is being made. on property I own which is not intended for sale, lease or rent. Ovners~",Signa ture: --------------------------------------- q-;)?:>-Cj 7 :::2... 1 L..J; <t;' (0 ~J..-0 DATE: RECEIPT #: RECEIVED BY: Sum $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' lOT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or. Extension Per Panel One Circui t 1 Each Additional Circuit or with Service or Feeder Permit E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outl~ne Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 35."- $ 2.00 at.- not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 :=?, 1 . o~ J,<K~ lJJ.. .~Ct. ~-