The URL can be used to link to this page

Home My WebLink AboutPermit Electrical 2002-2-20 ;~225 FIFTH STREET ;" . ,,,::,'.1 L~;;; ~" l'~>' 'EL.~CAL PERMIT APPLICATION ' ' ',,' ~. , _ ' . . , ,':, "~. 1:-'>~": ;\. -:;1 :'1,,., ' k,,_ ' " " '" , .~ ; '.,'. (. . I~' ::: ISNPSRIpNECGTFIIEOLNDRE' OQREUEGSOT~ 977246~377.j,h:. io,!~~~~'~Joje~t;as sJ~~,z/.T oh hiPfo1;~" d'~1)"C' '1(:~~~Z,":- :'0 O<l?//{,:~~r~ ~ ~:l:, . ~\"' ". ~ , e,~nlng{ %a >t'" m~,'" 4: f "," !O~lUlf~ AerS't 0 . ~<. ,~ ;;7'0 ,,\.'< ~ ,> ~ < lL, ",;' 'I' ',- \. Jo oes not req{ff" t4 . ,0111./1'9' ",'.,,' '.., ',; :;', OFFICE: 726-3759,. , " ;'. :;. ,':~PP.,:ova'(. ~j (';t1 ,.fe specific lalJduse.'- ,,;,: " " '~",' .' ,:..: .' ? '. :.J' ':: '.,;' ","~;:' .' , N"Z :, H3t~LETEFEE SCHEDULE BELOW- . .': . \ .:: ,J' "'.":." VI' .~<;. qn~Dgt'>:[~:j~1:';b,.',,~ #>>>" "..".->; .' "~". '" ~, 1. LOC~TIW ~~SlNL.AT,I,~ ,;~~~:;~r;p~, ,;" :"'\J ;'< ,.,' '. .. _~' lS" ~'c' :r1";;l-:- "N'~.~\.::~~.~i~entihl-Singleor;" J "'"'' ~:."::..,.~ Rut OrJzed Signature c:ot<t....c..Nulti-Famlly per dwelling unit. ; ~el'\' It\:; Inelalled: LEGAL DESCRIPTIONu J70Z 3Ss. ~( 002Z0 ATre- JOB DESCRflPTION fOl/oW IVrION:Ore 1000 sq.ft, or less \ ~ ~I u..r . Not.i.tk' rUleS adopt gon laijt~gtdditional 500 ,1 in OAR ell/on Center ed by thi a"o~r~~ to Permits are non-transferable ana~~r).. 952~001_00' Those J1YJlo'lgon Utjlit if work is not 'started within 180 rJe~~i' OLJ may Obt '.0 thro1LJc ~~fa\feltfQo~e or of issuance or if work is suspen~ft}1h~ng the cent am cOPi 0 I95~lffrl[th 180 days. . er for the 0 er. (Nota. t eWi~:;GM.lJg1. ,',. Cent ' regon U',. ate/eph s by., 2. CONTRACTOR INSTALLATION ONLffJrts 1~8JJO-Sii.{tMtI/otll~G~ .',' . "." '.- " _ \ ,r t ~~.1a!lOn, ~terat,lOns or Electncal" ContractotA~ <:f{ O~..1.. L . RelocatIon: .~' \, Address ~.n ]~dl~r5rlJ . City ~)~:::d\:~honerJ~~;:.; " :':<:\+::':'>:^.~", \,>" '.0",< . ,.'; :":';>,~'? Supervisor Eicense'1'{i,llllber ':~ '~_{_ EXPirati~~ Da'~ . (" ";&8 :~1t( , ;,.' .' ~~,,:: },:: <f\.~ :& [5~. M'~ix_P;;j) , n" ;" 'J,~ A 'F,><,& ,;, <:: ~~ " ' """"1'Oit t<:t~ " ~""\'>.:, -~''':;5j~-'\'d\;'. ."J'J~ ;~>'.~ /11' ", 'ConstrContr:.Num er. ....,.:' ,;",. : .',^',::.'<.' ~:;:::~~~',;;C'\'~-5:<~~:;~~~'a'/;;:". '~I~';~f ;.}/:. ':""v..'.Expl'ratl'on Da'te . <,:..' 'rJ~',^, ~~l:t:; , . ~: "'''" <.~. '" .- .. .' , " '~. '. ""'. ^ '~>:\~ if~~:.~t?;~~~;.~ " , ' :' .,: . .:,,~':;;'.,~Sig Supervising Electrician ",,, . ~ ,,, <<, v,. '<;" .....~.. ,." ~ ":~,,.,'~~~tf~~,,$"'>. ~~/, ':'::";, ,.~.?~~. ,. " \, . . ~" '. r., ",." ,. . '+,' I', . ".'.' :<..~ . ,~' . ",> ': "'. \\ .' ""', .' .> " . !":',,1 . ' ;~ ) ',;; , , ~~:'. ,; ~. " . - ".'. ,'." . Items Cost ", ., " ,,' S~lp. , '"" $106.00 . " , $ 19.00 $ 50.00 j""' . '. " .<, .' ,,' , ;~ > "',',\ D. ".^ , ,'. h' . . , > ~<, . E, Miscellaneous (Service/feeder not included):. ..:'.' 1 ' "' . " l' ' ~, "'"V~~. " . ;'!~Each installatioll\" , . ,.;;"io<': ',." t':. ..", '. ,{, ';. --' ' " , "" ,'. . '\" ." '. '. :, ;: .r:>urripocirrigation'" ..' "$50.00. .. . i: 'SignlOtitlineLighti!ig: '.' ;'$50.00 , l:imitt~d Energy/Res'.:' $25.00. . _~'" ." A'- ~ , ' : Li:mited Energy/Comm $45.00.. Minimrm!'j'~;~cP'nni;.'~SP'ction F,8 +Surchacg" 4. SUB'TOTAL OF ABOVE 1..f ~--. < ".< .., 7% State Surch,arge , .~.\ t,5 8% Administrative Fee . ~ . ~ '"r.' ., ~." " - t S(7'5' " ".,. . ...., "': ,"', ' . .: '..'...Owners Si(Jn~iture:'.'" ,:.., , . ...,.,e,.,; ", '''.'',' ," " " . ,." " 190 : tBIH8\13 . : 39N~H:J . ' , gL'1S $ (;.:Q03tJ HJ6- lOOl 06. 8:E:31tJO . 0608000c.:.10:-#SN~1 , ,;' . ~ "",", ' " ' , , ^. . ~ . ,', . ".,,' ' . . " I'.' " ".;' .' '<,~' , , ~ -', : , , ~ ' , . ':.t \ ~ , > '. '"---""" ,. '. " TOTAL '." . . . . , . ' ..' . _ ~ _ '^,,~" _..., _ k . "' ., , . " ',> .;;','1::, ...., _ '." "", _...' , ~'~'_J.. ~ , :~. " ~. ,.;,. .