HomeMy WebLinkAboutPermit Electrical 1998-9-30
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The. following project 88 submitted hea thi}~CAL PERMIT APPLICATION
zoning, and does not require apeclf1c land'b1k.". n,,"
9710 77 approval. a /
726-3769 Zoninp tc / Ci ty Job Number / <i /2 t..j
D8t(j /3D /08'
1. LOCATION OF INSTJ\LLAU~orqed SIgnature
5'1"''1 ff}1IrY) _<)'t- ~"'F~d
/'7f!tf~SqniPTION tJ '3 )On
225 l'IITIl ~TREI;T
SI'IUNGFIELU, OIlEGON
INSPP.CTION REQUEST:
OFFICE: 726-3759
^_do~~~s:~rrON
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Permits are non-transferable and expire
if work is not started within 100 days
of issuance or if work is suspended for
100 days.
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2. CON1~CTOR INSTALLATION ONLY
Electrical Contractor &t7E:&d-fIC-
Address,c~laLoaCo (l-eclCI.R II, /I S
Ci ty ~L'f~ phone1z.{p.DtrECf
Supervisor License Number ~ ~
Expiration Date loh\Ol
Cons tr Con tr. Number 8l\ It. '1. '1
Expiration Date ~1'4\OO
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Address
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OIlNf-.R INS
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-~----------~f-7-------~--------------
DATE: .. t//J6 fl'
RECEIPT #: _~_...:...ILffj~/?
HI.TEIVEIl BY:.. __ ....-:.:f.WW........._...........
3. COMPLETE FEE SCnEDULE DELOII
P~ew liesloendal-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home or
NGi~llnEir Dwelling
THI%'1f~~M 8I'iAf~2~~IRE IF THE \.\'O~ ~O. 00
D. AIST#Q~W ~~Cffe1ffi~fERMIT IS NOT
CI]iIJl$llEiN!Jr~t liflllS ~@~tID'OO!lIr
AI~f!t86r)~~O~RIOP,
200 amps or less $ 50.00
201 amps to 400 amps S 60.00
~Ol ~,r>.~ to 600 amps $100.00
60 f\,~hlpll Tlf(/'JwoooaJhps requires ~Q. 00
Ov~oW:~~_\1l:1l1r~he Oregon$.BIMl, 00
~~fJAAlleE' COWit"r, Those rules are !$Jt~iOO
In A~952-001-{)01 0 througn OAR 952-001-
c. ,oJ>~~~l.wvngl!fl91~l!S:C6ie~eltell'sles by
Ins ftl \~Tf1pdillrt'^l), tfl!9\ilt lllmtE\!aptRmklca t i on
numBer for the Oregon Utility Notification
200 amp~e8teri~k~00-332"'2344), $ ~O. 00
201 amps to ~OO amps $ 55.00
Over ~Ol to 600 amps $ BO.OO
Over 600 amps or 1000 volts see "D" above
D. Dranch Circuits
New, Alteration
or Extension.Per Panel
7 (; fJ)
-I- $ 35.00 )
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
. $ 2.00
E.
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinv
Limited Energy/Res
Limi ted Energy/Comm.
I
no t i nc1uded)
5.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAl.
$ ~O.OO
$ ~O.OO
S.20.00
$ 36.00
35'"
/,75
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