HomeMy WebLinkAboutPermit Electrical 1999-5-6
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1. LOCATION OF INSTALLATION
J,':;).'-f '(Y'\UA r.-VIl--:'" -:J G. 'JAy
LEGAL DESCRIPTION
17f13 )'-1/7.- 1S-5b"
JOB DESCRIPTION
L.),~~_ <:::::..r. "'__ ~ ~ .~j
Permits are non-tr:n~;e~a~~-and e~ire
if york is not started vithin 180 days
of iss~ance or if york is s~spended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
"Electrical contractorOf&jvr I:rZez,T
Address90~o'1. ~"'),'
Ci ty (- ,u\~ <1l<loci. Phone,~4:~ 110<;( I
Supervisor License Number l_~~~
Expiration Date' 10 - \ - 0 I
Cons tr Con tr, Number ~:><. 00 I
aCFIELD
PERMIT APPLICATION
19;/5-t y
3.
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single cc
Multi-Family per dyelli~b unit.
Service Included:
1000 sq,ft, or less
Each additional 500
sq. ft oc portion
thereof
Each Manuf'd Home, or
Modular 'Dyelling
Service or Feeder'
B.
Services or Feeders
Installation, Alterations
or Relocation:
Items Cost
Sum
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The following project es submitted l\'!MlW \llJA!le op e ~- I:' ! are set forth
zoning, end does not require sl\~'IWllib'/lltOl'l<center. Those ru es R 952.Q01.
epprovel. '52-001.0010 through OA
Zoning --L(){L 1/1 OAR ~ 'f:~" obtain copies oHlle rules by"" "
,... ~VtlV' Iw' ,~, N te'thetelephone
Dale .., ~ 10 - q -, --"'''!' thA !l9nter. ( 0" N tifcation
AUlh~~JJ.mdTREET n~m.b_erforthe Oregon Ut~~~~). I , ,::LECTRI~
Sil~ , .'. Vl\L"'('" 91"" veIILbrls1-S9Q-33, .
INSPECTION REQUEST: 726-3769. City Job Number
OFFICE: 726-3759
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
S 85.00
S 15.00
S 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date q - \'-\ -o..,~
Sigrature of Supervising Electrician
7i~cL_____flj,dV.0v"
oY~ers Name Q.,.." ') Y (~J){=:'r' ,-=;fi._
Address 7:t l( MoN T !//t:-z,v
Ci ty ~f)~r:v Phone
OVNEP. INSTALLATION
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The installation is being made on
property I ovn which is not intended
for sale, lease or rene,
... ners Signature:
D~IT.-;---'i/l1f'l. ,
RECEIPT II: J/~ ;l5'J,7'I
RECEIVED BY: P W~
200 amps"or less
201 amps to 400 amps -----
Over 401 to 600 amps
Over 600 amps or 1000 VOlts
D. Branch Circuits
S 40.00
$ 55.00
S 80.00
see "B" above
Nev, Alteration or Exter.sion Per Panel
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One Cireui t
Each Addi tional
Circuit or vith Service
or Feeder Permi t
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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$ 35.00 .:J.S.....,
S 2.00