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HomeMy WebLinkAboutPermit Electrical 1998-2-17 . '......... .. -'VI' and does MY require apaciilc ',jr.'(OVal~oning . L.ciV ~ Date . NOT\CE: ALL EXP\RE \f THE WORK - 2 ~T. ..(J.[Yl:, _ __T!~.'SPERM\TSH ERTH\SPERP~AL PERMIT APPLICATION S uri"EW ~-' OREGON 97477 _AoU1HOR\ZEO UNO FOR (\4 \ l c::!.. c:::... INSPECTION REQUEST: 726.:..376g: MENCEO OR \S ABANOON~ ty . Job Number V\ \ ....)~ OFFICE: 726-3759 COM. . ANY 160 DAY PEij90, COMPLETE FEE SCHEDULE BELOV 1. \~~T~ ~I~~ION . A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum . , 1000 sq. ft. or less \ $ 85.00 ~5 Each additional 500 sq. ft or portion ~ 45 thereof $ 15.00 Each Manuf'd Home, or Modular Dwelling Service or Feeder $ 40.00 \c\D~~A~~\(X) \ ~ ~~d:t(\c;L JJQC{~ Permits are 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 Contractor Address City Phone Supervisor License Number r2CJ6 Jf; . C; Expiration Date /0 - 9 ~ Const~ ~~mtr. Number ;2 D - /5 X- C- Expiration Date / () - r ~ Signature of Supervising Electrician dJad~ / ~ own~ Nam~~'DS Address \> ~ \ ~ 4\~\ Ci ty f X) o2X\cL. Phone "" 0 \ . O~C:O OVNER I~TALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~----lL~/7-'9-~------------------ RECEIPT #:' 'c.~* ' RECEIVED BY: '.-I.L-- . B. Services or Feeders Installation, Alterations or Relocation: 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 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 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 Miscellaneous (Service/feeder -Each installation' Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 \~~ At~'~ /1<J.-=V)