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HomeMy WebLinkAboutPermit Electrical 1995-3-15 . . . ,,' "'~N'JC': .. '. -' 0 0" 4f,:' ' . io(l\W.e 'l>IC le.fI .).'~r~"" '<':", '" . ", " -,...S sU, s9aC ,"_">"_"," ' . '0~""'_t\V.\(,e .' .,"'" " I , ,\>,01 ~ I"'" ",,,....:f:" '" . . . ",1~1l e9 flO 1\ tV ~~,:; ;;,;2;!.,5,~ ro.J.r <0 STREET . (\1e, ,\0110 e\\o 00 ~~ ,.I' ;#...~tg~!iPIl::LD. OREGON 9757J,1.. ' , .~(.r+N~""".j,ON REQUEST: ~'7'2~-3t~1l '('!'- , {i'.;':':-\{9~<;E: 726-3759 . '.... '.".... '.- '.' "~,,\>,\..';'1.;' ;.wCATION' Of INSjALLAT .0Neo Sillfl",\U1e 'M\;'/E:J'Za ~~) ,#;1, ~),~~~~,.~~;.:,< . . . . ,;I>"'.':'LEGAL DESCRIPTION ;:~~.:? 7~ ~ :2 2. ClO 1:)2 :J f'1 ~ ... .~"".v;',,, ; .", " '~:::;~~~~;~'7M S-~J '_.",':';\1'<":- ':....:. ~~~~~?~rm~ts ate non-transferable and expire ;."\,,*,.~'if~,,w,ork is not started wi thin 180 days :(Iii,~\,'of:iissuance or if work is suspended for rj.~~:s'.':l~O' .days. ~,r./t ....',:. . .~ '>, ,.... .'~ l,;,:.::;!.t^ . ~ONTRACTOR INSTALLATION ONLY ',~'C(;f:1ectrical Contrac tor Rf)5e. (l.orn. ,.':, " . I ,.. ,...:.Adrl;r~.ss~'1b ))~~I" ,t",.",'. '", U ;';;::~; ff.ti~R Phone t,8Io~oqO-' t!r~~jSU~~;;isor License Number t 5"&,," ..;~;:(:i;~~;',itration Date JCJt}q5 " .," C :;;~ "';';'C()~str Contr. Number ~ ~O-~5.3 ~. .. , :" Expil'ation Date Q/30/ q 5' . ELECTRICAL PERMIT APPLICATION 1t; Job Numbe~, 9S012J.3 '. . :i::" ::..:s~~a~ure ~~r:ising Electrician ~,"".;e' .: (:~"'~'/ /~ ?;~:y".:L\o:~~rs Name PI.1 Alia ~~ bM)~ ..;~ ....- I,.'. "'. . . : ':'.'::> (I'ddn!ss 1.1 ~ ",.:.; ;.,.......... :: ;';".. ,:CHy ">". .-, .... Phone ':, ~91/NER INSTALLATION .' ':'; .,..,The.,~installation is being made on . :;C' ',~ '~'r'op'erty I own which is not intended t:"." ,,!'oI<~'ale, lease or ren to :~~~~.~ers Signature: , . ,--~------------------------------------ , -:r--C5-?~ /66&>9 ....--- /- - - ~ /r ~ . :!"J:' ~~'j> , ,..DATE: RECEIPT 11: RECEIVED BY: ~. ~ COMPLETE FEE StHEDULE BELOV A. New Residential-Single or Multi-Family per dwelling Service Included: unit. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation volts $ 40.00 $ 55.00 $ 80.00 see "B"o above 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 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 New, Alteration or Extension Per Panel $ 35.00 :rr... ,- $ 2 . 00 /ff!.- D. Branch Circui ts E. Miscellaneous (Service/feeder not. included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE ---4..,9 N; 5% State Surcharge ? ,'f".s- 3% Administrative Fee 1.~7 TOTAL C";., S'2. '" _. One Circuit Each Additional Circuit or with Service or Feeder Permit '.7