HomeMy WebLinkAboutPermit Electrical 1999-8-23
NOTICE:
THISPERMITSHALL ·
JUTHORIZED UNOE EXPIRE IFTHE~RK
c ,MMENCEOORIS:;HISPERMITISNOT
N ' ~/ 1 ~ ANOONED FOR
. .
.
BLBCDICAL ....--. ?tH~
City Job Baber qV\ \ l'rl
3. C;;ittLBTB PBB ..~.."...~ BBLOV
A. Nev Reddential~Single or
Multi-pamily per dwelling unit.
Service Included:
22.5 . ~..... .,).,>>w:W.
.............-D. 0lUlC0!I 97471
......."'w....OR a....u....~r. 716-3769 I" 9-11
OMCB:5'iI1Z6-3759 '
~
1. LOCATION OP I!lS"'&U.AflOM
lJ I). L/ VI Il'IJJ _~I.
JO~~r5\'9-r() ,
Items Cost
$ 85.00
1000'sq.ft. or less
Bach r-.dd! tienal 500
sq. ft or portion
thereof
Bach Manuf'd ROIll! or
Modular, 'Dwelling
SerVice or Feeder
JOB IJBS."".... .~lJI!l
{l)1~1t IdA L-/S.::.J.U /"/f)/)/...t:-r(
Per8its are non-transferable and expire
if work is not started within 180 days
of issuance or if vork is suspended for
180 days.
2.
$ 15.00
$ 40.00
B. Services or Peeders
Installation, Alterations
or Relocation.
..:",..:J.CTOR DlSTALLAT.IOR ONLY
~
.1 V\ c:..
Blectrical Contractor 1LJe
Address j>,O, e:,0k 1<6\
City ~c)'<'\ "-~ Phone 603 [.& ')(, (~t 1/
~
Supervisor License NUllber ;l (Q 04 "::,
ExpiraUonDate 16-01-dl
Constr Contr. NUlIIber G,L{LjOO
Expiration Dat,e O~- oS - 61
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
zoo aIIpS or less
ZOl aIIpS to 400 aIIpS
401 aIIp'S to,600 aIIpS
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only
-
c. Temporary SerYicss or' Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Z01 amps to 400 8IlpS $ 55.00
Over 401 to 600 BlIpS $ 80.00
Over 600 amps or 1000 VO!ts see -B- aDOve
Sipature of SJfperY~Bleetr1cian
~. ) /;bL-bJ/rr
owners Nalle_/1<-UftX, Jj1'r12.~
Mdr s4\12; _ rhf\ <~J
D. Branch Circuits
. ."
... Nev, Alteration or Extension Per Panel
-:J - 00
One Circuit $ 35.00 ,,~,
Bach Additional
Circuit or with Service
IHST " ~IO or Peeder Permit LJ $ Z.OO
fOl/nw ,I N:Oregon la .
The in8tallat~.lffll' ,~~~ns~eo9P./,~ require~~uu ~1. 8 cel~aneouB (Service/feeder not included)
property I o'Wl :cnOi'lCno,t>,i9F,eWdi!d' Oregon Un"Each' lnstallation
for sale, le~ ~~'i\{)OI_o0iOt~serUlesareset~'PWaP or irrigation $ 40.00
',YoumaYobta' roughOAR95 <S~gn/outl1ne Lightin, $ 40.00
Owners Signat,^f€~/mg the center'(;vCoPies of the ruf-O<i.'imited Bnergy IRes' $ 20.00
umber for the 0 , ote:theteleph eSD:J,mited Energy/Comll $ 36.00
, C"n'~.', regon Utilitll ~l~r" one iJ
,1,_'" '-,,,,-,,-,-~--' 'h/C!itionSUBTOTAL OF ABOVE Lj~"
DATE: ~.![~ .~'v\ , '''''''.'''$I4l. 1-:sf State Surcharge '~, 0 I
RBCBIPT I: '\ 1 .. ,F.;.,~ iJUI ~,' 3% Administrative Fee ;;1lll{
RBCBIVED Byr",,',,"o... ~-.. t-J ,TOTAL ~, 0
~ooll!l ~_:..., -: . ,'lIHS,'AHQ q../dS 699t OZL tosS 90'90 t6/S0/01
one
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