HomeMy WebLinkAboutPermit Electrical 1999-2-12
1000 sq. ft,.b\l-/; .-l"',~s -;i $ 85.00 ~
Each add1T t'fOl'11hJI'5~(feQ'OTl'iaw requires you tv
sq. f tf08I'wrf&ffl~pted by the Oregon Utility
therlOqtifica'iion Center. Those rul~ iJ!!J3. €lot forth
Ea ch Mll,Qf!fl /jl5jfdlill:Hl\)1 u mrough OAR 952.0Ul-
ModulQilillb1Yel1\1Jilllg obtain copies of the rules by
Servi ce::alltn9'~o:Jtt",ler. (Note: tho tl!l[@p66ne
number for the Oregon Utility Notification
2. CONTRACTOR INSTALLATION ONLY B. Services or ~~t11l1-800-332-2344).
11 L I 1 L.- I I. Ins talla t i~n, Al tera t ions
Electrical Contractor ttn:;." dr<.- ~Wf'..~ k. or RelocatIon:
Address l ~ LIs ~ 1\ ~ 1i.:J.X y.:j 200 amps or less
, 3 U ' , 201 amps to 400 amps
Phone f.!-,- / oli'.~ 401 amps tol\:600 amps
601 amps t~.10~0(\~mps
Number If;1/ <: Over 1000 amp'sN6\hs
Reconnec t4I.-oniY~-941, .
c: ( 0'0,9.1 ~l' ,sit.
C. Temporarp.1servi?c'es/or41Iteeders
Ins tali'a:t'i 0';:;~'V(A'l,ter'~t'ion<:'~17l>Re1oca t i on
" , . u O;y -'-"I 1'1y, "7(:-/~
200 amps' 'or 'i"ess,~~, /,s.4I>. ~,s,o(S Io'-l;,op/,
201 amps to 400 amp-~) "'Vb:? S94S;ij.QOVlyk
Over 401 to 600 amps l1{S,)~.O .'000
Over 600 amps or 1000 volts seeO~B" ~bove
1. ~OC ION OF INSTALLATION
.- - ~ WI....,'" ,,(-1- .s"'r"~ftr.dJ
: 'fbCj1 fflk/V . J
LEGAL DESCRIPll~N
/ 7 (I.7J :< / / (fY2.</...tJ.rI '
JOB DE~CRIPTION
c.. <<./ z.. +
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended f~c
180 days.
CitY~"""J
Supervisor License
Expira t ion Da te Ib 100
Constr Contr. N~mber /0 X' 1tf(o
Expiration Date
/0/60
Signature of Supervising Electrician
j41 /U1/f,d 0' !.?"h>
Ovners Name ~/lJ
Address -'/fl-lJcjl~ff4'i~i1-.
Ci ty &~?""""J Phone '(P.j:I$If.~'
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovoers Signature:
DATE: . " ....,
RECEIPT H: i J-<. ,.-;:<.
RECEIVED BY:' -
- -----~~~---
,
.......
ELECTRICAL PERMIT APPLICATION
City Job Number 911)(9 Jo~
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dve1ling unit.
Service Included:
Items
Cost
Sum
J
CJl?po
S 50.00
$ 60.00
$100.00
S130.00
$300.00
$ 40.00
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Add it iona1
Circuit or vith Service
""O,';>\)
or Feeder Permit ~ S 2.00 R
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL ,OF ABOVE
5% State Surcharge
3% Adminis t ra t'i ve Fee
TOTAL
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7!J?V
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2-,10
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7 S,6 0