HomeMy WebLinkAboutPermit Electrical 2001-01-04o2/LL/98 LO:22 6SO1 726 3669
2U FTWE SIREET
SPBJilGETEI^D, oREGOtr
INSPECTTOI{ RBOIIBSI:
O?FI,CEI 726-3759
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1 OT INSTAIJAEON>^^ S+ul,f{6t)
I,EGAL DESGTSrION
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JOB
&-
Perrnits are non-transferablelf t ork is not started uithin expire
days
ed for
4trr(
Th^e Ioilowing p(oiect as submitted has the followinoill,ng ,rO does not requrre specific tand useaPproval i '
Ig 001
,NGFIELE!
PgRTfiT APPIJCATTON
City Job &rnber D0 - ooooQ -O I
Zon ,ng
SPFD DE1'. SER.
-o
3.
c.
Iteus Cost Sum
$ 8s.00
s 1s.00
s 40.00
40.00
55.00
80.00
ee rBn affi
3. Co!{PLETE PEB SCEtDt LE pEIrU
.lA. Neu Residential-Single orIulti-Panily per dvelling unit.
Service Included:
of lssuance or if volk is
180 days.
2. COIIISACTOR IIISTAIJ.ArION
Electrical Contracto
Ad t-=s
ci
I Supervisor
,
cense Nunrber
ExP iration Date
constr contr. Nunber \-\
Expiration Date
Signature of Supervislng Electrlcian
Naoe Lo,{tL FrutAouXy-
Address (ru {Z"f *\t$
cicy 5r', M*,tl-i
Phone 5f)1 -'
1000 sq.ft. or less
Each additional 50Osq. ft or portion
the reo f
Each Hanuf'd Eoae. or
-Hodular 'Dvelling
Seivice or Peeder
Servj.ces or Feeders
Ins tallation, Alterationsor Relocation:
D. Branch Circuits
SUBTOTAL OF AIOIIE
7 State Surcharge
32 Administrative Fee
TOTAT
200 amps or 1ess I S 50.00 50.
201'aups to 4OO anps
-
S 50.00
401 aarls to.600 anis ] S1oo.0Q _
601. anls to'10@ .ip=T 5130.00
over 1000 anps/volrl
-
$3oo.oo --
Temporary Services or Peedersfnstallation, Alteration or Relocation
200 arups"or less S
201 anps to 400 atrps
-
S
over 4b1 to 600 a"is
-
$
over 600 amps or 160OEts s
T
I---_r-__-
OITilER INSTAI,IATTON
he lnstallation ls being made on
roperty I ovn vhilh is not intendedp
f.or saIe, lease or rent.
Grners Signature:
DATE:
Ne'r, Alteration or Extension Per Panel
One Circuit S 35.00
Each Additlonal
Cireuit or vith Senriceor Feeder P.irit- -J S z.Oo 2./
E. Hiscellaneous (Servlce/teeder not included)
-Each installation
Pump or irrlgation SSign/Outiine-Lighting- !Limi ted Energy/Res S
00
w
00
qq
t.:-.:J,::
44,
40.
24.
JO.
tr, 7f
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C'TY AF OREGON
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