HomeMy WebLinkAboutPermit Electrical 1999-4-23
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;~~gi~~~iiGON 97477 Zoning- .J./~d- 3- <7") ELECTRICAL PERMIT APPLICATION
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OFFICE: ',,726-37,59 ,:;.,;, , 'e'i:ISlgnature.---. " ,!-,~: - "~.~." """',)' ,"
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1. ~~~:';;~; "o~\;~'~~;.;:;~~;c..; - -I . '..:'3.:' . COMPLETE . FEE-'SGHEDUbE' BELOII:' -, : -*;~' ',. .
L..\ri.\ "" A.. f'rIA.1r...'J ~ A_ Ne... Residen tial-Single 0:
Multi-Fam:ly per d...ell:ng unit.
LEGAL DESCRIPTION Sen-ice Included:
/762~2-31. 6/100 Items Cost' Sum
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JOB DESCRIPTION" _ {
C'.\v." r\,\ n,.-t- ~"" \-un-.. "t- .:?, \ ~ c..,
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Permits are non-transferable and expire
if ...ork is not started vithin 180 days
of issuance or if ...ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Elec t ri cal Con t rac tor~, r:;&:dr "'S"'J'J/IU
Address _p n ~" v~:l.'J_' . .
.i ty G"UCf' 0 .qJ~~Ph~nei\l/-2, {(",<i?1
Supervisor License Number I .':lA~ _ <i
Expiration Date IO-t)I- f'J-:J
Cons tr Con tr. Number ,':l,X', . , I
Expiration Date q -I'-/-_ On
Si~ture of Supervising Electrician
. 7 JQ~t.-Ci", ~(t) !r}L7 ~ /
D.
O...ners Nam~_... --'~"l,J \......o.,.t""o~t
~o~'V>
Address~\7cU\;'\ ((...10/"''' ~
Ci ty. ~I,ll-o.--L Phone J.p<{t,., ~~n:;(n
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OIlNEH INSTALLATION
The ins talla t i'on is being made on
property I ovn IoIhich is not intended
for sale. lease or rent.
~ers Signature:
-----7--------------------
DATE: 'iJ7.3/'i'f
I\r.\-r..lit i: fi:' (})3' 3 q .
RECEIVED BY: ,oJ W"-A
1000 sq.ft. or less $ 85.00
Each.addi tional 500 -. --_...- --_"
sq. ft or portion
thereof . eeonJaw nS~LII61JotPu t.o
Each Man~:fTal'Wlftl~icf ted by the Oregon Uti~
ModulaIjQU{l'9':Jrl)W op Those fules are set tort
Serv i "" '-';:R~llnter. _~ "''" '"""""'2-001-
,..0""" 0"-" n .h"-oUyrl \:JIu.rVWJ
in OAR 952-001- ". ~ - ies otthe rul"" l.,
Servi Ce{;09n.l?ee~'tobtalO c~fe: thete\ep.ho~e
Ins talla t i&niin!!>~%A~n Utility NotificatIon
or Relocan~Rfllllrforthe.Ore900-332-2344). .
: Centefls 1-8 .'
200 amps or less $ 50.00 ' .
201 amps to 400 amps $' 60.00
401 amps to 600 amps, $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts ----- $300.00
Reconnec t Only S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 ampS"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
Branch Circuits
Nelol, Alteration or Exter.sion Per Panel
One Circui t
Each Addi tional
Circuit or ...ith Service
or Feeder Permit
$ 35.00 . =\~ "'-0
__ '\ '"0
$ 2 . 00 Q,I..
E. Miscellaneous (Service/feeder not ,included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ '40.00
Limi ted Energy IRes $ 20.00
Limi ted Energy /Comm $ 36.00
5. SUBTOTAL OF.ABOVE
5% State Surcharge
3% Administrative Fee
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