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HomeMy WebLinkAboutPermit Electrical 1995-3-2 Ctv'1,#1~/-rc- ,. SP".IELO , ,... , 1_ ,~"","'~."':'f";'~:''''aothefollo' The foI10\',..I....... .-,~.. '" . . . land use zoning,f.'.. . ...,-~,....""- -.'-~"" opproval,. ~6 ZOi'I~:,?___;.;-- ~~ir~~g~~~~GON 97477 Dalol~:':~L~ ~ I r{ INSPECTION REQUEST: 726-3A&.~o'i""d t,,..,1a.-,,, I\J OFFICE: 726-3759 1. LOCATION OF INSTALLATION .~27_~ MAIt.J<.1' K.-=..';;'- ~ ~LEGAL DESCRIP1;ION l7rk;)'2...)2l5!'i/tnJ lLUA F-"IArH y~;$'Pf ~./~ ~ JOB DESCRIPT. ION . ~~'C ~~'IU I>l..-r-'~' I:IJLA (' Per~its are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical contractor~~ ~""c:r12"~" Address ~ Y'/~ 61 ~/ Ci ty t;,'. Joe . V Phone If; Y f-- :Jt!;' 0? " Supervisor License Number '79-5 Expiration Date /o---/......,.~ 20-/r~ C- Expiration Date /(:1-/- '7<; Constr Contr, Number Signature of Supervising Electrician -'lLJ e'.JU - ~ D. Ovners Name _1Jerz <; e:.ru\ mv"</fyf ~7 Address Ci ty Phone 7?j.,~/:. 7.7 J OVNER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent, Ovners Signature: -----.---------------7jT.;--~------------ DATE: 3/;~?;- RECEIPT #: '/ ~:q,.,' & RECEIVED BY: # ?<lA---'> , .:;~,~ ,,6b Number. ELECTRICAL PERMIT APPLICATION ~5CJ202- COMPLETE FEE SCHEDULE BELOII ~ Nev Residential-Single or Multi-Family per dvelling unit. Service Included: 3. A. 1000 sq.ft, or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Service or Feeder '.B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 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 Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" aoove Nev, Alteration or Extension Per Panel .' One Circuit Each Additional Circuit or vith Service or Feeder Permit ".--$ 35. 00 ~ $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL 40.00 40.00 20.00 36.00 $ $ $ $ 35""r-u ,b~9' /.7-> ----.1..,PJ 3~a~