HomeMy WebLinkAboutPermit Electrical 1997-05-15sP}.- ,FtELo
SUBTOTAL OF ABOVE
5Z State Surcharge
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EIJCTRICAL PERHIT APPLICATION
225 FIFTE STREET
iinrxcrrgt D, oREGoN 97477
iu-siemlox nsouEsr z 726-376
OFFfCE: .726-3759
gINSTALLATT0N
ob Nu.nber q "7b 1bo
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
--Each installation
PumD or irrigation
-
Sigir/Ou tline Light ing-
Limi ted EnergY/Res J-
Limited EnergY/Comm
9
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1. LOCATION OF
IJGAL
JOB DESCRTPTION
COT{PIJTE FEE SCEEDULE BELOV
Nev Residential-Sing1e. or
iiJi,i-r"riIY Per dvelling unit'
Service Included' ,,"r" Cost
t000 sq.ft. or less
nactr adaitional 500
sq. ft or Portion
thereof
Each Hanuf'd Home' or
Modular 'DvelIing
Seriice or Feeder
Services or Feeders
installation, Alterations
or Relocation:
01oo
3.
A
.8.
Sum
Alarn ta1 I at{
s 8s.00
s 1s.00
s 40.00
$ 35.00
$ 2.00
.00
.00
.00ilBrr above
Permits are non-transferable and. expire
if -rotf. is not started vi thin 180 days
;; ;;;;";I" ,, ii uork is susPended for
180 daYs.
2. .CONTRACTOR TNSTALI.ATION ONLY
Electrical Contractor ADT Sdcurity :
Address erl S t
Ci ty Eue e
Supervisor License Number 94
;oi ;;; io 60o amps $199'99
TemporarY Services or Feeders -Installation, erieration or Relocation
200 amps'"or Iess $ 40
;oi ffi; io +oo amPs
- i ::0;;'161 io ooo a'irs T $ 80
Over 600 amps or 1000 volts see
Branch Circuits
I 1
Phone 342-tlt q
g .TT.E
Expiration Date 11/01/99 C.
Constr Con tr. Number 59
Exp iration Date
Signa ture of Su ising Electrician
X_D
Ovne rs i'fame
Address
ci Phone -eq
Nev, Alteration or Extension Per Panel
OSNER INSTATI.ATION
The installation is being made on
pitp.tiy I ovn uhich is not intended
for sa1e, lease or rent'
E MiscellaneouS (Service/feeder not included)
$?o 00
s 40.00
$ 40.00
s 20.00
$ 36.00Sture:qr'" l44t/r-
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