HomeMy WebLinkAboutPermit Electrical 1999-7-13
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StCFIELD
The following prbject es submitted has the following
zonIng, and does not require specific land use
approvel. 0 {),
225IFIITHsiRER:~~~, ~at:;:",.:~nin.g ~()'lj;.vzpr-~::;~;7 ~i:EffJq:CACYERMIT. A:PPUCATIllN., .-.1
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INS~L";.J.vN REQUEST: .' ~ 0'!11lg>'gnature-. /'0...,. ""F;~JobI#'N~oer:7'~~ll{-l::I:6'~",;~~
OFFICE., ,726~3759" 0 ',~, ". .'., . .. ..",.. .."". ,~_ 0'., . '._., _ ., _ __. . . ......~
3. COMPLETE FEE SCHEDULE BELOV
er
1. LOCATION OF INSTALLATION
a'Ol-J4 ~ UMA..,-
LEGAL DESCRIPTION
r7()'l.. '2- 11{<.{ ()O/~I
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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..~lectrical ContractorJlti>lIN (lE/l:'ilil( SERVICE
Address \> 0 ~n"- ~. ':l"
Cityfu.a",,,,. ~ Phone~:~I("S(L
supervis~ License Number 13Qd. "i
Expira tion Da te' /0 -/.. 0 I
Constr Contr. Number .-;l.S<OO I
Expira tion Da te Q - 1'-1 - ~
Signature of Supervising Electrician
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Ovners Name~ho..r-o" 8"......, ft..A,
Address .-.t!>.o """.a.. J.- ') '-i'f \ [PrY1/r)
Ci ty <.n r:.J Phone"'~b ".:n~
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OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
/
. 'ners Signature:
DATE: rb~i-79r ---
RECEIPT';:. I) 9'152 '" I //
RECEIVED BY: .IU' //tJf#
A. Nev Residential-Single C~
Multi-Family per dvelli~6 unit.
Service included:
":ems Cost
Sum
1000 ~.t~l"qt less
Each ~!1~1 500
~~~r fJTHI8PIPA~tSHALL EXPIRE !f1'S~ORK
Each ~O.Flfi~QJi~PEn I nl'" PERMIT IS NOT
Kodu~MM!eIlJI&iiOOFlISA8ANDONEO FOR
ServJIWYqBo~~ERIC~ S 4O~OO'
S 85.00
.B.
Services or Feeders
Installation, Alterations
or Relocation:
.200 amps or less S 50.00
,,201 amps to 400 amps $ 60.00
,'.'40.1' amps to. 6'00 amps. $100.0'0
'.601 amps to 1000 amps $130.00
'Over 1'000 amps/volts $300.'00.
Reconnec ~'OnllyiTION:OI"\jV" 'dW sa'4I:1!~Yo~..:v
follow rules adoptee oy the Oregon U",,,y
C. Tempora~tilielllid>cwrder,FE1<fdetsJles are set forth
Ins tall;!i:QmR ea:l.(ei'aI!i['oD tto"tiu.&ino8~~$Jfr001-
ooeo. You may obtain copies of the rUles by
2'00 amps' .<(.'lBII~~!he center. (Note$tr40:f.0QJhone
201 amps rfUtn1<.Q9f~ OrAoon USliq,5'WOfic~
Over 401 to bOlC~P.fi~ 1-Rnf\-3~-!!g40P.
Over 600 amps or iooo VOHS see "B" above
D.
Branch Circui ts
Nev, Alteration or Exter-sion Per Panel
One Circuit ~ S 35.00 ,~S"~
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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