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Home My WebLink AboutPermit Electrical 1996-7-31 ~'~;. , " , ,.t~.~, <v:.. .1, ',. A .'1' J&vL722~~6 MON 09:51 .DT , 503 344 4875 SECURIT~ S~~TEMS . .3~.~.44 487,~, P.08 approval. ~ Zoni,,\, L1:.2lt. {\ ~~1S FIFTB STREET qf. BLECTRICAL PERHIT APPLICATION 'O~PIlINGFIELD, OREGON 9747i?a!e /. 7)1' lL /J . ~ ',1.\ ,: V\ INSPECTION REQUEST: 726-RJ~Zed Signature 'OVI. Ci ty Job Number :"'-1 ftJ! /;" ~ r .~;.,:;. OFFICE; 726-3759 1.J\_ t fj>::, 1. LOCATION OF INSTALLATION 3. COHPLETE FEE SCHEOULE DBWI1 ct {PI D~J\ rr~' _1'"71 a ~lIJllR;<k-9 ~ue A_ Nev Residential-Single or a. iJ Hulti-Faraily per dvelling uni to 1.:1. ~:pP<.~;:;:;~t<;dJ !/(ftJJ ::;i:. ::d::,::" ,,,.. ,:~: Il1if:. ~12fn. 'y~,,1I Each additional 500 "1/" sq_ ft or portion ";;,;. Permits are non-transferable and expire thereof "~/'" -. if vork fs not started vithin 180 days Each Hanuf'd /lome or ff',' r:/~=~;~ce or if vork is SUspended for ~~~~}~~~~e:~~~~r ' . . ",;f.;+;~::~/0..:~~~r . :" ~:-~. <...:~:: '. '::,;,-.:;, .." ,.;' "; .' ~ .. . .......... 2_ CONT.I\ACTOR INSTALLATION ONLY Elec t rical Con [rac tor AnT ~""......_.: -y ~y!';':r~ms Address 1501 Pearl Street. Suite H Ci tY...fu!yenl). (:lR Phone 541-34~-1113 ii\-'.. Supervisor License Number R1777JLE ..~~~~" ': 1;,,,' .. ~r~!i;;~"E><piration Date 10/01196 ~,:l...'.~... Constr Contr. Number 59944 ..a~", :-~,'(.I ~,f'j;jK~,~~Piration Date 04/29/97 . '.. '" ....1ll:".":f:,iSi6t ature of. SupervisIng EleCtrician ~ 'i."""','J." . , - . ~f~-"~..J~(/l,~ '. ;:. ,'~ . .. :~r;:.6J 'Name..cbo,<: ~\.l",'I<'\1 ~"'l.al<: . ~!., c> I. :, [~<~ddress I~' n..J.Ci\'It.IQv!t . : CityW,,!J . . Phone ~tf7- ";;)1021 _~ . OVNER INSTALLATION The installation is being made On B. property I ovn vhich is riot intended for sale. lease or rent. ;~ i? ,000e~s Signature: t~ii:.. t~~:ii~Ti~----/-:'-3"O--=-l'rt;-----_-..: 5. :'hRECElri ,: ".., eX eJ. D" ;3. j .J :~,::!\ECIllVED Sr: ~ ':I'I\~;;', . . ~. ~\'r:",-'i"~'''''W-c'-'' ",,_..L.'l.ti~-.'.. " ~;i"~, l" . . - . ". .-,',.',\' B. Services or Feeders Installation, Alterations or Relocation: 200 araps or less 201 amps to 400 amps 401 amps to. 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only C. . '.': -, ~: :-", '.f"t, .'. c.' .. Sum $ 15,00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .' '- Temporary Services or'Feeders Installation. Alteration or Relocation 200 amps or less 201.araps to 400 amps Over 401 to 600 amps Over 600 amps or 1000-vorts D. Branch CircuIts $ 40.00 $ 55.00 $ 80.00 see "8" above Nev, Alteration or Extension Per Panel " One Circuit Each Addi tional Circuit or vith Service or Feeder Permit Hiscellaneous (Service/feeder -Each installation Pump.or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcha~ge 3% Administrative Fee . TOTAL $ 35.00 $ 2.00 not included) $ 40.00 S 40.00 $ 20.00 S 36.00 70 nn 20.00 1.00 .-----:nn----., ("1~ ,. - r-:. Ii, ::