HomeMy WebLinkAboutPermit Electrical 2001-8-6
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The. following project as submitted has the following
zOning, and does not require specific land use
approval., tv
ZOning
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2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
r-.,,, h llw [I^' 'M' Installation, Alterations
Electrical ContractorJ.JJJlll \ ~~'(,or Relocation:
Address ~ ~/... ~ n as . 200 amps or less
~ ' 201 amps to 400 amps
C1 ty , ~ Phone&ll-lo&3.. 9>313 401 amps to 600 amps'
601 amps to 1000 amps
Supervis r License Number L.(1t.f dS Over 1000 amps/volts
Reconnect Only
'0- , - t'\ I
Constr Contr, Number d/) - 3 J1c.."
I()- J-O~
Date
225 .~..." STREET
s. ........PIELD, OREGON 911.\l~zed Signature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
LO.(tATION OF INSTALLATION
-/;)., M~
LEGAL DESCRIPTION
11'03.35",,,\'2.- 0'/00
1.
. ,JOB DESCRIPTION
-1:U.L.J (l"" 'l.v; t
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Expiration Date
S1gnatu~__of Supervising Electrician
'"'11/l-a./~ d ~
. (I U
Owners Name Ar-r ~
Address \\q 9 rJ T~sr 4l= IIf
C
City~...~ Phone-$':2,o 1<'19
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
OWners Signature:
---------------------------------------
OATS:
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ELECTRICAL PERKIT APPLICATION
Ci ty Job Number () ( - (7) '" X'O - 0 )
COKPLETE PBB SCBBDULB BELOV ~
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
3.
, A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular'Dvelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000-vorts
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00 ~
One Circuit
. Each Addi tional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00 -
$ 80.00
see "Bn above
"
$ 2.00
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
71 State Surcharge
3% Administrative Fee
as. -
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