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HomeMy WebLinkAboutPermit Electrical 1999-4-23 b 'tied hes the 101l0wl 'to' oj'" '\119 project ~~:qU u:~ specl1tc land use , f!l\d does nO :- e,u..1 C--(!.... ;~~gi~~~iiGON 97477 Zoning- .J./~d- 3- <7") ELECTRICAL PERMIT APPLICATION ~,.. .,.... ,"..~- ..,.. -v-...~..."'l".\- .,.?O"'":,~..... --' ~ '" ,,-~r:.'.'\,'"'"'h""" ..\""::I,,...'ll".....,.....~..."t..,..'V'....."".:-'t:;fa.t::,~..,t:;:.ilo~~:;,~i::r... INSP~q1.2N.t'~>Q~?~.it.{.~. 7?~r.31,~~1off.:r~;.~,..~ 1..;(-..r_~~~, f~~ 'v:,'l~f'"i. t"~"r ~ob iN,umper" ,', -l':'/..'vJ"'Y 'l,..l~;'-. ::' OFFICE: ',,726-37,59 ,:;.,;, , 'e'i:ISlgnature.---. " ,!-,~: - "~.~." """',)' ," , '.. . '.' . .Jtnonz 4 1 '... ....J.... .., l ' 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 . JOB DESCRIPTION" _ { C'.\v." r\,\ n,.-t- ~"" \-un-.. "t- .:?, \ ~ c.., ':l . 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 \. 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 TO'fAL . ., . '~lo9C> r "lR> " /I .::1. <,t ~,\/p -,::;. .