HomeMy WebLinkAboutPermit Electrical 1999-1-29
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The following prolect as submitted has the tOllowl'18l1 I N:Oregon law require
zoning a'," does not require spaclfic land uSIlJ .?W rules adopted by the 0 s yo '
approval /f . otrflcation Center Th regon U"" y
Zoning v&...- in OAR 952-001-0010 t~~oe rules are set forth .
/ -6< "1- C; "l U090. You may obtain ~gh OAR 952.001-
Dat&225 . FIFTH STREET k~ ~dlling the center. (NC~~~~~ 0: t~EE~CAL PERMIT APPLICATION
""lnsplUN<:a"flmD. ellESell Y1..;; n. 'l1berfortheOre 0 '" e eephone (')1') ,J::l
INSPECTION REQUEST: 726-3769 Center is 1l00~3U3t2'''ty Noti~YJnJob Number 7 70(Jl~3
OFFICE: 726-3759 -2344).
3. COHPLETE FEE SCHEDULE BELOY ~'
1. LOCATION OF INSTALLATION
41 '310 1/)'\0 IV\;:IT. . A. New Residential-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 Manuf'd Home. or
Modular, 'Dwelling
Service or Feeder $ 40.00
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LEGAL DESCRIPTION / / f~~ '\
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{'t}!\! DESQRIPTION f/ I' \...1-. +
t<o"f-' I {)('(\'\1 (WI ()j '8n I C,\ VCU.I S.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
C;. Q Clel'.I~, I r Installation, Alterations
Electrical Contractor t" I,.) c:) L-'H IC,+V\Gor Relocation:
Address p,O, BDJC \~r,;L '. 200 amps or less
o LP1 --"7U/ 3/: 201, amps to 400 amps
Ci ty c){)ld Phone I 1 -;;2~ \0 401 amps to. 600 amps
r llo (j I (' 601 amps to 1000 amps
Supervisnr License Number 0 ~ Over 1000 amps/volts
ID-O[-Q/ Reconnect'Only
Expi ra t ion Da te
(1'i?~q
C)-i-OO
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$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B"
CSi~ature o~~~ng Electrician
U Cj \ LID Branch Circui ts
ners Name aiM -rv leseV\cKl n .
1'15 () ,I,., V J 11),,, / q II New, Alteration or Extension Per Panel
Address...,. hlvt:\'" let- I:':> \t)J/ 7777
~)'I One Circuit $ 35.00 35.00
Ci ty. (d. Phone Each Addi tional
NnTlC Circuit or with Servic.l\ 6
OIlNER INSTALLATION' E: or Feeder Permi t '+ $ 2.00 <6.0
THIS PERMIT SHA '
The ins talla t ion iSAB<;lhnfb,~ad~ oH.l EXPIRE IFP'-;'iE ~,~~~.~llaneous (Service/ feeder no t included)
property I own whicH isLnotEri'n,~![ns,'1d'HIS PER :Each ins talla tion
for sale, lease or lr:eh't~.~NCEDORIS' ,MITI,PumpTor irrigation $ 40.00
ANY1 n A8ANDONEDFC~ign/Outline Lighting $ 40.00
Owners Signature: R DAY PER/On. L'imi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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DATE=,( -- :v9-- /1
RECEIPT 11: C)':1., 7--7 )j1 .
RECEIVED BY: L2...,,,JYJ {:;),.,j1 cia 0
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
above
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4-3.00
0l-,15
I. 019
410.'-1'(