HomeMy WebLinkAboutPermit Electrical 1998-9-22
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225 F..l:~ 9 lR.PERMIT SHALL EXPIRE IF THE WORK'LECTRICAL PERMIT APPLICATION '.'
SPRI~rE1.b, OREGON 'r! a......
INSPECTION REQUEST: ~pH()~OUNOERTHISPERMITISNO~ity Job Nwnber-Ljr//f I( .' L-.
OFFICE: 726-3759 ~
COM, MEN,CEO OR IS ABANDq{'!EOtffiLETE FEE SCHEDULE BELOIi , .
1. LOCATION OF INSTM.!Ij;A]J!ON)~ PE11100.
/ I? If, d I'l1l7jA{--' d..r- ' A. New Residential-Single or
.. {' 1 335''{ I I. Multi-Family per dwelling uni t.
~,AL DE~SCIJ.I PT).Opl' 6 ~ /Jl-/fOO Service Included:
'/. ... ')/ij.1d..ffl' ,( d/c.L . , Items Cost
,- '~.u
tldt1.ro1)E~fA U/tLt/do ~
C. Temporary Services or Feeders
Installation, Alteration or Relocation
ATrENTION:Oregon law r. .
Expiration Date /o-I-<jrJ? fo"owruleica\lo~AAfb~1hl~Mlfesyouto
~.otification ~ht~'~ M ~':ll'lPfHMP!,JtllllY
~. t LO &2u v sing Electrician 100AR952-0tY~f)0~ j' ~~orrg~eaalnlll3tro"h
/ / / 0090. You rrIi1YdbtU j'J{e~ CMRWWJ(vb-lts
. /1./ . ~.-I::4k-/ calling the center. (",cop,. ~ of the rules by
- '" / numb~rfor~i1gffig d'W:~.'I'i!!eI~~hone
Owners Name itJ.-n.L ~ ~ Center' 1- gonlJl"'lyNot'flcation
. N'eJ~ ~mi?ar14Pr Extension Per Panel
Address /0 ft, J.. ~(.AC.-.5Ir~
Ci ty -M/;.J-i Phone
OIiNER INSTALLATION
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 B.
:~:::::cal contrac~0~~1jt:;~ -.
" ". ~ '"'"5"*,-"- -13 6S
Supervisor License Number ..3,;?jJ,;}$
Expiration Date ItJ-I-9?
Cons tr Con tr. Number_.::J/J-jl!.") G
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~E~-----~~;r1-r----------------------
RECEIPT l . IJ? I <I 'f j" //
RECEIVED BY: d.f Wc:v.U
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit I
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
S100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B"
above
.'
t
$ 35.00 ..35- 00
$
2.00 oJ. iJC
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE .~ 7. 00
5% State Surcharge /. K 5
3% Administrative Fee' I, II
TOTAL . ';jq. q /"'"