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HomeMy WebLinkAboutPermit Electrical 1993-1-11 Tb.... fe'l '"i"~ r.nhr;t -:e nubrni~(f,:' he"" the following ;,;,'plng a' ,a oOJ.:> 110t 1l:4OJire ,nachlc land use ns l'IFTII ~;TRI':ET appro~a1, ,I> ELECTRICAL SPIUIlGFH:LIl, Olll':GON 97/,77 h 1)\'( INSrl~CTION REQUP.ST: 77.6-3'/69 Zonino, City Job Number OI'l'ICE: 726-3759 Date \ - ! 1-93. 1. LOCATION 01' INSTALLATtm'l:rized Signatur; SS3, / n t:;'" J-t 1H2Lov fOAL) A. ~'" LEGAL DESCRIPTION /'7/)'l., 2.'7 ,2.7, . ' ~nZt'rO Jon DESCRIPTION . ~A-+t'~ /)(OJ <;eel/tO -1-0 rJtw /}CtJ II-f-- rermit~ arc non-transferable and expire If york is not started vithin 100 days of issuance or if vork Is suspended for 100 day~, 2. CONTRACTOR INSTALLA1'ION ONLY n. Inectrical Contractor t:SUUTet~df(y-6.f.Ia,tb, Address ((,1), ect r')...J/,??:,~ Ci ty [""'7 Ifv-}!; Phone h81'J-Io:;} ~I.., Supcrv I:; or Li cen~e Number '3 L/.::L7 5 Expiration Date fA _ / -9~ Cons t r Con tL'. Numbe r '7 D BRGj ~ d 7 -9?;:, j Expiration Date .J 2.. , ~r- Sicnature of Supervlslnr. Electrician 1)~ v.-jJJ_ Ouners Name i\.1(C~{ FVA;,1)" .- : Address City Phone OVNER IN"TALLATION The installation is being made on property I ovn vhich is not intended (or s,le, lease or rent, Ovner~ Si&nature: ~x~;:~------j:~:~~------------------ RECrm'l' ft: ~_-7-1 7~ HI,:n:TVI,:n ny: . ~~ COMPLETI'. PEE scnEDULE DELOII Nev Residential-Single or Multi-Family per dvelling Service Included: Items 1000 sq,ft. or less Each addit ional 500 sq. ft or portion thereof Each Hanuf'd 1I0me or Hodular Dvelling Service or Feeder Services or Feeders Installation, Al,terations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only 9~tJOt/o uni t. Cost Sum $ 85.00 $ 15.00 $ /,0.00 $ 50.00 $ 60.00 $100.00 $130.00 $300,00 $ /,0.00 51'J,~ C, Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less 201 amps to 400 amps ,Ovl,lr /,01 to 600 amps Over 600 amps or 1000 D. Branch Circuits $ 40.00 $ 55.00 $ 80,00 volts see "B" above Nev, Altera~ion or Extension Per Panel 5. SunTOTAL OF ADOVE 5% State Surcharge TOTAl. $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation r~mp or irrigation $ ~O.OO Sign/Outline Lighting $ 40.00 Limited Energy/Res $,20.00 Limited Energy/Comm' $ 36,00 One Ci,rcui t Each Addition~l Circuit or vith Service or Feeder Permi t c;n ,- "2.1-eJ .,-'2....'1> D