HomeMy WebLinkAboutPermit Electrical 1998-10-16
'o',,>:! ilU JU~9 ~.Pfll V.,'V. "ER
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. I requires you to I i
ATTENTION:Oreg~nb a~e Oregon Utility : !
follow rules adopteTh y e rules are set forth J. JTICE' .
Notification Center. os hOAR 9SZIQQ1- I 1,11' F WORK
in OAR\l52mrij~sl~.g ~,ol the rfJ'as~"" "'" I tiltS PiiBll\if tltlim.L Pmli~ I~ m)CATbr
0090, ~'_.l...;w.~n n' tfle~eW1on9':u. "0.'1 (fc"",': 118 8tI6l )I. ~TH()RIZEC UNDER THIS PI!! ~S ()
1~~ll!ole 0 ; N3tflre1ttfOO roq"i ~~ \:i ty lob NUlllb<:,
ca il/iJf~6AM (pt69l)~} 1\1'01 ZOlli t\rCIl> "DeC ,. '~" El OR IS A\:lfllffiffi.
num r is 1_800-332-2344)~"" 01 ,/lg---.... U<.:fl. C j, Sr.flliIDULE BEL O'J
1, CrJl1~:hON Of INSTAl, . ~-42 >N' "rIY 1 v,)i\.l . r.R ."'. ~
S~J:51 ({\QJIV\ "'\~Od...., - A, e( Residen:ial-Singl. or
1- """"'''''I N I ,Ut:ti-Fami:'" per dwelEng unit.
LEGAl,~lI1lSC'RIPTION - '\;., !;l.r'''i~e In~ luded:
!1+0'2\.':,L/\32 rlMoo . ---'~----!.J It..; Cost S"um
JOB OkSCIlJPil~ION ! ~,'if'. ~D~t, or less $ 85,00 '
i t~ G L, E:a ,h addi ti mal 500
. . 'sl. ft or )oction
Permi ts al'e non-tran.sferable and exp re !~"ereof
if 'Jork is not stlll:t:~d ...ithin IBO da 's E~oh Y.anuf' j Home.. or
of issuan~. or if ...~rk is ;suspendedor ~Jdular .D'211ing
180 days. . I~~r~ice or Feeder
I
.8.. S<l.tvices. Ot Feeders
ir~tal1atic~1 Alt~ration'
, ; R 1 .
qtl e ocaOon:
: I
I i(;O amps or less
: 2( ,1 amps [[ 400 amps
4]1 amps tr 600 amps
6 1 amps tc. 1000 amps __
o er 1000 ,rnps/volts
Ii connec t (nly
II --
! I
c. r.mpara,y :ervices or Fe, ders
ir)tallatiln, Alteration ar Relocation
: i
2( '0 amps. '01 less
i( 1 amps el "00 amps
0' :er 401 tl 600 amps
q'ler 600 arps or 1000
B; I h~' ,
,lane '....In Ul ts
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. I
N,...., Alte., tian or E>eten .ion Per Panel
I'
0Jle Circui.
E ch Addit:onal
i rcuir aJ ...i th Setvice
I ,r Feeder Permi t S 2,00
~ :scellan~ us (Service/f,eder not includ~d)
l:ach inst; Dation
r Imp or ire igation
S ,gn/Outlir e Lighting
~,mited En'rgy/Res
L mired En' rgylComm
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5. SlnTOTAL 0 ABOVE
. ~;' S ta t e S' \rcharge
B; Adminis rarive Fee
'r.'TAl,
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H"JOlt.'"
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2. CONTItAGTOR INSTALLAHON ONLY
F.l.~trica1 contract~rA~k-s..;~-,-
Address "2l.\ Lv: J.~~
Ci ty E:uwo..~ : Phon~~_
supervisoY License Number ?h-1b3- ~l.J:
I>y.pirarion Date IO-I-(Plt
i
Conser C~nt,. Numbe,' f+).~ 'R__
Expiratio,n Date \~ 10-":\ 3-R~ i
" ~ - - I
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Si
~ of Supervising Electrician
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O...ners rJame~~I\?-(\' ,~~~J\. I
Address );2)\ ,K~"r HIVY I
Ci ty ..sr1l(~1d : Phan~ I
O~ER INSTALLATION I
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The installation is:being:made on
praperty[ o...n ...hich is not intendec
for sale, lease or ~ent.
O...lIers Slgnature:
DATE~\():\~:C\~--~-----~---------' ---
RECEIPT ": V '.., \ - HR I\. .
RECEIVED :llX l~ 0 ho...t1n
tilllllll
$ 15.00
. S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
$ 40.00
$ 55.00
$ 80.00
vo. ts see nB" a~
.'
$ 35.00
40.00
"0,00
20,00
36:00
S
$
$
. $
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