HomeMy WebLinkAboutPermit Electrical 1999-8-4
The fallowing project as .
",:'i1"9 and does not r SUb~ltted h~(' the fol/ow;n
~,!-",:'j""ai Gqulfb specific land use 9
Zomnn LOrz.-
~~~~~~~~~ON'~a7.4 77 ~ -'f -9 <1
INSPECTION REQUEST: '"'''1'iW.!jjOOlature jGuJ
OFFICE: 726-3759 -----
3.
1. LOCATION OF INSTALLATION( ,\
~"q4{)_r<\t \(h'_~:~' ,l\.,)-':Y{\(l..\~u..~. New Residential-Single or
\J 0 Multi-Family per dwelling unit.
(RALEGAL D~CR,IPT1i(lN '1 f) Service Included:
'\X'(lf<, YOLQ \ ,76').3S;>'-,0</D/ Items Cost
JO~ DESCRIPTION~ \I.~.~ 1000 sq. ft. or less S 85.00
-h-. ~ ._~~.\SJ \~..... ~""'^-~ 99oc)3 Each additional 500 .
....;) . sq .tt I Qrilpor"t-iolljufl law reqUires you.~o
Pe"IPAt-...s.,e,'I1~ non-transferable and expire thel1!lP~ rules adopted bvthe OresoilsJ,t06Y
if '~'tI'~'1'S' not started within 180. daysEacl:J.JdlimY~M @OlD.!!r.orJose rUles are set forth
o fTifiiji&tiT &lHlU..lit6IrI8Ei1i~d for Mo<w~mg!!~~~ng)1 0 through OAR 952.001-
18~IZED UNDER THIS PERMIT IS NOT SeJOOliAA 'r% rf.~~~in co Dies o! $1€40tlOOby
C!'ll.I.U~AI"J:n.C\=~tJl')~'ht\ = callinQ the center. (Note: the telephone
2. 'CUN1.'~"RIlf' :ullrnU:J:JI\:1'J.'\:Il'f' Vl'U:Y .B. Servi.<;,5Wlb2.Ff&~d~};egon Utility Notification
ANY 180 DAY PERIOD. \_^ \ -:::'\ \ Instalfatil?!t.'lt~~~~J:8t!t~~m~-"844).
Electrical Contractor v y \~m ( f'.<'-n, (( or Relocation:
Addr, es~ ~.,k '7\:)4iA : 7: ,,",, crrz..'l-f 200 amps or less
'\ '-'I . 201 amps to 400 amps
CitY]>I">\1' ,,:>'!:>.'\ Phon~'0?~~1..l 401 amps to. 600 amps
601 amps to 1000 amps
Supervisor License Number 45'''11 S Over 1000 amps/volts
._1./ Reconnect Only
Expiration Date..1ili.L.-, '2.0')1 -.
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Canstr Contr. Number 1'3~3U
Expiration Date 5- 1/ - 0 I
. Signature of Supervising Electrician
,Sk\,_ \\ .\r\~~X ..
ow~ers ~~__ )--.......~ Xli i<.
Address
City Phone
OYNER INSTALLATION
The installation is being made on '
property I own which is not intended
for' sale, lease or rent.
Owners Signature:
~----~---------------------~---------
DATE: l'> r-4-\~o.,~
RECEIIT n: j,),:':>,:) /U"'-/ . .
RECEIVED BY,r \ . -iY\o (' yv", (,L~
ELECTRICAL PERMIT APPLICATION
City Job Number q q 1057
COMPLETE FEE SCHEDULE BELOV
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 10QO
Branch Circuits
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~ct'.3
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
"
.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation .
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit 2...
E.
5.
SUBTOTAL OF ABOVE
'l'bState Surcharge
3Y. Administrative Fee
TOTAL
$ 35.00
-
$ 2.00
40.::
-
40.00
40.00
20.00
36.00
$
$
$
$
.01 ;:;g
,.-0 .
."?-7V
/. & ,r-
,J-, Y. 4..I(l.
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