HomeMy WebLinkAboutPermit Electrical 1998-7-24
IF
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. , \~ ~'r.~ ~O~ Notification Center. Th re .
. j..?\~~ ~\~ \CO in OAR 952-001-0010 t - 0
f'\-'{\C~' C;'r.~\.\. ~ u.\CO ?~~ ~O~ 0090. You may obtain copies of the rules by
~v ~\~ ;;} ~~ "\ p ~~U ,,,,,,WnI'I th ~&M (Note: the telephone "
~CO ?~~ 'U~'iJ ~~gl\owing project as 6UOFI'Ifl1~EMCElb\ re ~n Utilit Notification
225 1-'?~$~~~~ \ro ~~ ZOnl~g, and does not requtlRJM~f.4<ll.1l1.dhe~ F.~~~;~,:}:;r~A Ali'ERMIT APPLICATION
~tEL o>>\f:'(r' (jJ ~7roval. ) A1 Center IS -r-8eu-~JZv~~"",
~~~~-~JR:~~ 7i6-37~?9liYvtf' City Job Number' q'gO&9:5
OFFICE:"I~~~~759 -::::llJ4li
. ~~ f>>a'f' -" '^ 3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTAL~ SIgn8lUre r I ~
JS-kY rd~ A.
n(;<D'tEfX-~~Ob'lbOO
JOB DESCRIPTION ~
iH./L/ ~ (I./Jr/U'?
-f' - ~
Permits ~re non-transferable and expire
if work is not started within 180 days
of~issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Cont~actor~~~~ ~~
Address jJ. o. 13 <9k Sv c; l.f
Ci ty UeG-- Phone 9~ -0Dc97
u
Supervisor License Number :50/7 S
Expiration Date 10.-- /- 99
Constr Contr. Number 01/6332..-
\ .
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less J $ 85.00 S-S-~.~
Each additional 500
sq. ft or portion -L I S-~ ~
thereof ( $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
"
Expiration Date /C9' (-9?
~~m:5ician
Owners Name .7.;::;r;J~ ~ \/ 1.J
Address ~ 09 -0 la~{)~
City Sfr'-c;J/Aoi!d Ph~ne ~74t..f - g& I
OWER I S ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------\~----~-------------------~
DATE: 1-/)(/ ~_A
RECEIPT #: _ . .I I , Y 0{f~5
'RECEIVED BY: '-i'. . fYl fA.--.._
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D!
Branch Circuits
'$ 40.00
$ 55.00
$ 80:00
volts see "B" above
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
. IDE.DC) -
3 :~ ~-
__J_O~'UU
40.00
40.00
20.00
36.00