HomeMy WebLinkAboutPermit Electrical 1994-11-23
T~e following'projeat 8II8Ul:lm1l1ed h98lho
. lIf1g, and does not requ/I9 epecIlIc Ialld uilo
...--;..roval.
225 1'11''1'11 STltE1-:'1' I-b(2- 1~I,I,:t:I'ln(;AI, PlmMlT AI'I'I.I(;ATlUN
SI'IUNGFml.lJ, ORF:GON 9f1.l1 Zenina (\ (/ \":lA J\
INSI'I,C'L'lON IlI,Olll,ST: .,u...&JAl ',. ,1,(,,',9. 8IgrllIIunl1/ -::J~.<j<f~., C[ ty Jub Number \.A (') ...)~
OFI'1CF:: "2(,-J.,59
I'{IHPI.R'I'I'~ FI.:I;: 5CIIF.UULI~ nl\l.O\l
1. N,I,l(;W_"10~~~IN"rALLAT ON,,'\.~ 0/... AA '.
V\ I rr-> t \l\ A..) ~ New Residential-Single or
Multi-Family per dwelling uni t.
1.~~~(;lnPTlON Ar'f1 n Service Included:
_,'1U.. n:Q8 <\Vl-LJ... 1""'\\. L- Items Cost
- .\.. .
~V\l UF:,S({RIPTlON -~~-:>l JOOO sq.ft. or less
rQJ'\ \0. 0 ('\~.!L ~ \. \..J0W,acb add it ional 500
.. sq. ft or portion
Perl lS are lIoll-lransferable and e pire thereof
if wurk is not started witbin 180 days Each Manuf'd 1I0me or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY n. Services or Feeders
/) . NQ"P"" Installation, Alterations
Electdcal, CO"ll'aC~.Ol'_'r.\.QS~ Cot~HI~b'J),'~~ ol'Relocation:
Add ress 8'9 q tro J)a..j Lo...n~IS PERMIT SHAL~G~P!f.lli>!F 'bIrlE:M/9IilK
_' AU I nUHILED UNDEWtHiS'1I>eRltiW WQO'l'nps .
Ci ty GUcle.l/le Phone ~ 7Q,17.09!CED OR IcN)JAt1l'lB~'E\..oF6D'(j amps
~ . 'i1lH amps' ~b <il800 amps
Supervisor License Number j5to8\!YSRI) [)AYPERlru:Ver 1000 amps/volts
/ Reconnect Only
Expi ra t ion Ua te /0 f / DO
Constr Contr. Number 5lftf.31
Sum
-L.
~
65
W
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
4D
Expiration Date 0//30/00 2QQ..amll.!/. or less I $ 40.00
, . Al :{tff'l ~;fuj\,s:qr691/0@'1im\\~U~ tcs 55.00
Sigllatu~.e "u"erv~'sin Electrician foIl9%!lllflWtdC\RIed<ilYtBliipsregonutilits 80.00
I , /7 Notif~f.,m~tsmp1t1Q1le ~a~s.Etf!lo~ "8" above
f' L--'.u~~V I in OAR 952-001-0010 through OAR 952-001- .
~ ' - \'\ r. fj)J)90l~a9:bb1uihtaopies of the rules by
Uwne r s Namett"''i"'f'I ~ '\- ~~ O-E.:M calling the center. (Note: the telephone
l'o.A(\l - nU~el!ffdt~I\90t~~\M\ ~lliti'l<AAIi\e!ll!JnPer Panel
Address \. H-'\ (\ ~ ~ \U\l')\'\.r)- Center is 1-800-332-2344).
C . - (\.~ One Circuit $ 35.00
City TJ1.fL>2- I'hol]eJ Each Additional
Circuit or with Service
OIlNER .: STAl.LA'l'ION or Feeder Permit $ 2.00
The installation is being made on
property 1 own which is not intended
for sale, lease or ren t.
OVllers Siguature:
-------------------1.-------------------
UATE: I//nl'i'v /t
RECEIPT n: ''{)'f~UiJ. //
RECEIVEU IIY: p..// wP!l\l/
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 19:>'6.~
5% State Surcharge "i. 2)
3% Administrative F.ee Ls{
TOTAL 1&;'1. <:t v