HomeMy WebLinkAboutPermit Electrical 1999-7-13
The, fOllowing project as sulimilted has the following
zoning, and does not require specific land use
approval. t6 '(m1:-1:EE-OOl'l-~;;! ,diLld:J
Zoning, , UO!l'BO!I!ION 1I1!l!In uoflaJO a41 JO~ Jaqwnu
Date , , /I ~I 'I) J15:h ' aU04dalal a41 :aION) 'JaIUaO a41 flU!II'BO
Auth 225 Fln-Ii :'U\Bt. f/.()\ ^4 salOl a4110 sa!doo U!'Blqo i\'B~~'{)OOI-j\L PERMIT APPLICATION
,:)MRl9NID"n , O~GON Y 97477 -J 'J0-1:96 1::1'11'0 46noJ41 0 ~OO-100-1:961::1'V0 U! '
INSPEC:ION REQUEST: U 7Zo-.> I ~~Ollas am salOl aS04.l'J8Iua::> ~!WJ!J!~ Number 99&:>$ /2-
OFFICE. 726-3759 i\lllIInU06aJoa41~~pa)gHAA%~gH'1~1l0ISCHEDULE BELO\! ' _
1. LOCATION ,OF ,IN~ALLATIOti-OI noli S9JlnbaJ M'BI LloflllY()~t.tN3f.f'v ,*, ,
/~.3 E A.4A/A./ ~r: ,A. New Residential-Single or
, Multi-Family per dwelling unit.
LEGAL DESCRIPTION , , Service Included: /,
J7~7'~':S.~_e'~~~~' Items Cost Sum
, ~OB DESCRIPTION /~ 1000 sq. ft. or less $ 85.00
~~~~~/C~ ~ ~~S Each additional 500
; sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular 'Dwelling
180 days. Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
~ ;-- Installation, Alterations
Electrical Contractor.c.5t1/~~r--/,;:C _ or Relocation:
Address ~~~~~;~~~ 200 amps or less / S 50.00
~_ 201 amps to 400 amps /D $ 60.00
Cit~/~.E Phone4'8S-0922. 401 amps to 600 amps -+ $100.00
'~ 601 amps to 1000 amps $130.00
Supervisor License Number / -:::> Over 1000 amps/volts Z $300.00 r,~)'E
/'0/, / Reconnect'Only $ 40.00
Expi ra t ion Da te ;/' ~ /0/ i\InT.I'C.
- -, - -. C. Temporary Services or Feeders
Constr Contr. Number 20-/.atdm.PERMITSHALUJnlSltmtfm-i!!tWaflKeration or Relocation
.' /.0/,/ /qq AlITHORIZEDUNDEfbWISP~Rw'pmT
Explratlon Date ::;OMMCNCEDORIS~tJIEUF@~O amps
Signature of SUP~.l.:y.!sing, Electr.4I11YidlODAYPERIOQ,yer 401 to 600 amps ,/
~ ~ - \. \ r--..... ' Over 600 amps or 1000 volts
~. - ~ ~\. ./ ~
( "" / /r\ / /:. D. Branch Circui ts
Owners N.1rne~--') VV6.S'T
Address/~J.3 E A-/A/;tJSr:
.so~
~~
~'2.o
$ 40.00
$ 55.00
$ 80.00
see "Bit
,p.rf?:9
above
New, Alteration or Extension Per Panel
O\INER INSTALLATION
One \l:ircui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
City Phone
$ 2.00
--------;;--i---------------------------
DATE: ~ J'K/7/
RECEIPT 11:1 t) 2 l/f; 2 d /' _' I _
RECEIVED BY: ~ ~ AJ/ ~~
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
, -# 2030c:!?
5% State Surcharge /~/~
3% Ad~istratj,l(,e Fee ~'flo
2~ ~.c-'L:iJIEYJ _ _~=750
/07AL 2""QQ 90
Miscellaneous (Service/feeder
-Each installation
Pump or' irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Owners Signature:
SUBTOTAL OF ABOVE