HomeMy WebLinkAboutPermit Electrical 1998-7-23
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ATTENTION:Oregon law requires you to OIling, 8nddoea lICIt
follow rules adopted by the Oregon Utility~ IllClUb9
Notification Center. Those rules are set forth ~/ .
inOAR952-001-0010throughOAR952"()0~/'--'" '.' " .
ffil;(lI '? ain copies of the rules or' 4- <,
. i'ote:EetelePhone~_.- fl.. ELECTRICAL PERKIT APPLICATION
S [/') j . n 0h Motification ---"-/..l.M" 1 . /J V'7\q II
oP;I~: i?J18-d '-33 ile~: 'Hy ~.. LJlber ~I 0LJ
1. LOCATION OF INST~l&~RMIT SHALL EXPIRE'n: T~'W~~ FEE SCHEDULE BELOll
1_ '7'7 'L.-/flY' ,.... ~A'I\UlBld' ED UNDER THIS f1CRMtfe~ lIl.eJ1dential-Single or
COMME CEO OR IS ABANDONE~~i-Family per dwelling unit.
LEGAL DESCRIPTION ~~Qice Included:
1'7 0 d--. 3C:; ,:;),~ A~~'le;Pi'()PF.R'OD, Items Cos
2. \"u".AAcroa INSTAlLATION ONLYB. Services or Feeders
Installation, Alterations
Electrical Con trac tor-t5-rJ E.c.TtltC.., 04..ol~..I~ or Relocation:
'''''-
Address .p. 0 (;0 v "-" ~ ~ -a, 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
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JOB DESCJUPTION
---/Jfe.a- T V 1/ n.- P
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
'-
City, ('-'"-1'_.1_
,
Phone '" ;b~ b Cl.l....
Supervisor License
Number ~.. ~.!fC-
In_/~<1i>
Expiration Date
tonstr Contr. Number ?oll~"I
Expiration Date /2.. -~o-<;.Y
Signature of Supervising Electrician
r:t' .b- ---1 cA.L.-
,
Owners Name De""...." YI i\ .1:,...,0,
I
Address (.. 7') L-~fI~opl~17 LtJuP
City ~~4ft-wO Phone ?'1h~t{I.('2,{)
OVNER INSTALLATION
The installation is being made on
property 1 own which is not intended
for sale, lease or rent.
'~
Owners Signature:
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DATi~---:-;i-~-;-q~------------
UCU;( I: h '~("...."t<' / ..L.
lUlCBIVED BY: n. m ac, 1-, /I ei ';
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
Sum
S 85.00
$ 15.00
S 40.00
S 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 VOLts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" aDove
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New, Alteration or Extension Per Panel
$ 35.00 ~.CD
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3%. Administrative Fee
TOTAL
1
$ 2.00
not included)
$ 40.00
S 40.00
$ 20.00
$ 36.00
35. f:JU
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