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HomeMy WebLinkAboutPermit Electrical 1998-2-25 . THIS PER~IT SHALt. EXPIRE IF ~6iov I oee not I'IlQUlm epeclfIc land use AUTHORIZED UNDER THIS PERf;Wf I~ N~~ LU COMMENCED OR IS ABANDON~~~I Ci "'I 22:>",~litiilil;l)~IOOD. J, ~ '^ SmNdf'IELD, OREGON 97471'uthorized Slgnetu", 111"1\ INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. ;.LOCATION OF INSTALLATION 1.- '.3 Do J'11t1 pJ LEGAL DESCRIPTION )--J nJ-- 3?- ? / (J "d/ fS7) f110a.') rES~~I\-~ 6 Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor r:A6CAriY:: f!1.B..TlIt.. Address S~:'><is' CeAic. l-OOP Ci ty Cr51TA{E; 6J2RJ'E Phone q'-f). 7D't6 Supervisor License Number 5.3 7;LS Expiration Date /~//'1$S Constr Contr. Number S-b.2...11 ~);r/f6' F Expiration Date Signa~~~e~ectrician Owners Name(1 Jf'l1 to hD(' /l AddressUl.fl~ OJ (11 f ~ Cit0JOf---J.-- Phone &f'!r-3'6J~ OVNER~INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~~t;,-)15!;f~-;:~----------- RECEIVED BYP . t111l.f!.fl(J c1 .) ELECTRICAL PERMIT APPLICATION ci~;-'Job Number 97/ Lf7{) 3. COMPLETE FEE SCHEDULE BELOV ~ ~I Cost A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular'Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 I $ 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 $ 40.00 $ 55.00 $ 80.00 see "B" above volts D. .Branch Circuits " New.. Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circui t or wi th Servicr . or Feeder Permi t ( -a $ 2.00 /~. ifY E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 fod.OO ~.IU I . 'K!.t7 ...L#JIJ . Cj (p