HomeMy WebLinkAboutPermit Electrical 1998-07-27SPr ,ELT)
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LEGAL DESCRIPTION
JOBkq vt 1r\8e-t
2.CONTRACTOR INST
Electrical Contractor @r{
Address
Phone 4 ?3
ervisor License Number 4 (17 3
Permi,, .r" non-transferabLe and expire
if vork is not started within 180 days
oi i""rtnce or if vork is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Sertice or Feeder
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
ftems Cost Sum
s 8s.00
$ 1s.00
s 40.00
Service fncluded:
CATION
t
$ 40.00
s ss.oo
$ 80.00
see ilBrt
d
Ci ty
sup
Expiration Date
Constr Contr. Number
Exp iration Date
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less i $ ?0'00-or
"*i,. to 400 amPs
-
$-99'00
401 amps to 600 amPs -- 9199'00
60L amps to l-000 amPs- q119'00
over 1b00 amps/voIts S300'00
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocat
200 amps"or Iess
ZOf amps to 400 amPs
-Over 401 to 600 amPs
0ver 600 amPs or fOOO-voTEs
B.
C.
7O
10n
a56vesi
0vners Name
Address +t+>b- s . la+t
Ci Phone
OVNER
ing trician
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit 4
Each Additional
Circuit or vith Service
or Feeder Permit lD
The installation is being made on
property I ovn vhiih is not intended
for sa1e, lease or rent'
Osners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
$ 3s.00
$ 2.00 --^ C2//U -
$ 40.00
$ 40.00
$ 20.00
$ 36.00
dD
RECEIVED
5
"7T:6d--
THIS PERMIT SHALL EXPIRE IF THE
AUTHORIZED UNDER THIS PERMIT IS
requires you to
Oregon Utility
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