HomeMy WebLinkAboutPermit Electrical 1995-06-29r\.iirorized
LOCATION OP INSTA
LEGAL DESCTLITTION
JOB
I'17
Pcrnrits are non-transferable and expire
1[ vork is not started vithin 180 days
of issuance or if vork ls suspended for
180 days.
2. COI.NTIASTOR INSTALI-ATION ONLY B
Iilcc trical cont rac torM t e
A<lctr:ess ( e {h/il tt)
ciry Eqfen e - r'ttone {t-t -3137
Supervisor License Ndnber 2s6oS
Expiratio n Date ,/e -/-7f
c
Constr Cont r. Number A96ao
E>:pi ra t ion Da te 23-
prolect as submkted has the lollowing
u8€
ELBCTRICAL PBTTU IT APPLICATION
City J . q<t
ob Number L ,J I cKl
srgnarr" lv 14. COunr.nrn rrng SCTIEDULB DBLOU
A. Nev Residentlal-Sing1e or
HuItl-FamiIY Per dvelling unit'
Service fncluded:Items Cost
1000 sq.ft. or less
Each additlonal 500
sq. ft or portlon
tlrereo f
Each Manuf 'd llome or
Mo<lular Dvelling ,
Service or Feeder
$ 8s.00
$ 1s.00
s 40.00
Scrvices or Feeders
fnstallation, Alterations or
Reloca t ion:
200 amps or less ,'
20L- anrps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-
Over 1000 amps/volts
-
Reconnect 0nIY
0fr
Temporary Services or Feeders
Installatlon, Alteration or Relocation
5a.t I lr.l Gl: tl:LlJ
200 amps. or less
201 amps to /r00 amPs
-
0ver /r0t to 600 amps _
0ver 600 amps or 1000 volt
Tli
t;,t"'
";*ino
does not requiro sp€ci{ic land
225 IIIFTII sTRI*T I ,O/
iriuHcnrrr.u, oRtiGoN 97477 Zonins t-'-rz<---
INsPrcrIoN REQurfar z 726+37$921 b**-'!{
0FFICET 7?.6-3759
5. SI'BTOTAL OP ABOVE
5f State Surcharge
TOTAI,
Sum
40.00
55.00
80.00
e rtBr affiifi
s 2.oo
o
not included)
40.00
40. o0
20. oo
tQ
/ .60
$ s0.00
$ 60.00
$1o0. oo
$130.00
$300.00
$ 40.00
dD5L Y
Si ature p Blectri cianI
$
$
s
ses
ners Name
Atl d rcs s
Ci ty Ithonc
OVNER IN:;TALLATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or [ent.
Onners Signature:
Branch Circui ts
Nev, Alteratlon or Extenslon Per Panel
$ 3s.00
D
E 14iscellaneous (Service/ feeder
-Eaclr installation
Plrmp or irrigation $
sign/outline Ligtrting- S
t iii tea Energy/Res
-
$
Limi ted Energy/Comrn S
!,
DATE:
RECNI PT sqm-Irti('r.:Ivt:l) It
,at:lj i' 'l
I
1.
F,
One Ci.rcui t
Each Addi tional
Clrcui t or vi th Service
or Feeder Permi t