HomeMy WebLinkAboutPermit Electrical 1999-3-31
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Thel@IIUwmgproloeI8ssubmltted.hasthe following ATTENTION:Oregon law requi ,,,. S~ .. RE IFTHE \.."~,,
,8AlAe, oml doos not require specific land use NtOtltlOW ~ules adopted by the Ore~_. ,'~I''', 'W\~- ':'41S OE' R ., .\
il~~f8Vill , 0 I Icatlon Center, Those rules are set forth .. - MIT If : ;OT
i!6nlng (I ~ In OAR 952-001.001 ~ through OAR 952-001- ,AN;)ONED FOR
. '\' , _ :~ _ 3 (." c, 0090, You may obtam copie~ Pb'(>o !"I'O~ b"
D. a e. ",) ..l. .1I SP.:.B__ ~ calling the center, (Note' tErtl"lKlI.<A:!..,PERM:r APPLICATION
.. ""D~ OREGON 97477 ' fit' elepnone
1;"100"''' , J_."_.,.~,,. number tor the Oregon Utili"r.~~tif'^CiliG.' b r",
INSP CTIOl-< tU:.(Jur.~~, '.<b-j /09 Center is 1-800-3329 Y)::TO Nwn er '-4 C; 0 :2, -, 7
OFFICE: 726-3759 ,3 ,
3. COMPLETE FEE SCHEDULE BELO\I
1. LOCATION OF INSTALLATION
3!l:..h3 1-/ I.l tfd i) A.
DE~CRIP'J.ION 176 3 2 '2..2-000 ~
OuIftFlCk ,:::>r~l1kho<4se. .
JOB DESCRIPTION
_FJJ"'1;f1~ ')'4101"1" S''t'' CZll.c....,f
Permits are non-transferable and expire
if work is not started within l80 days
of issuance or if work is suspended for
180 days.
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'2. CONTRACTOR INSTALLATION ONLY B,
Electrical Contractor f..kA/A. C"'II1NII/"LLc.
Address !inl" /liE rnAI2.J< 51-
City o~ ~ flltW) Phone30~_l/o.( lTS'"lcJ
I
Supervisor License Number t: If'( "'9'
Expiration Date
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20l amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$85.00
$ 15.00
$ 40.00
$ 50,00
$ 60,00
$100.00
$130,00
$300.00
$ 40.00
Constr Contr. Number 127,f70
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
/ . 2'1 . C'()
Signature of Supervising Electrician
It .- /' J~7'1 --~j ,d~
~, ~~ D
Owners Name {'JIJ -+- 6At':/r Sf-r?~k-h"Wq... .
Address 5'"Lf-Zn I ~/ ~-r SE ,);~520
Ci tyt>-E' I fr.,le uJ./ Phone?
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------~-J~\-------------------
DATE: "(>()..JJ
RECEIPT II: 3:;3""> 2<t
RECEIVED BY: ::>.-31- "1"
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" above
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New, Alteration or Extension Per Panel
One Circuit GP
Each Addi tioG<ll
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (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
$ 35.00
$ 2,00
no t included)
$ 40.00 ..I.' ,
$ 40.00 ~. <(fJ, -
$ 20,00
$ 36,00
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