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HomeMy WebLinkAboutPermit Electrical 1999-6-28 . submitted has the tol 0 I The following protect ~s equlre specitic land use zoning. and does nO , approval. I .-D (1- Zoning I _)..~ - C, "i o,u5 FIrTH "l1U:.J,;T /!. ~ o.TTEN'IION:uregon ,aw reQUirEtE~CAL PERMIT APPLICATION $.r.lW;W~~~ DllE{:91l 97" II follow rules adopted by the OreguII ~~';~cth a 0 . A'f~'tltCT!ON REQUEST: 726-37~~tification Center. Those rules ci.\).2!R,~ .Number f (0 $' 7 'f OFFICE: 726-3759 inOAR952-001.0010thrO~gh?~H\j:. ^u " 0090 You may obt31n crOOHPlJETE' F~ES gCHEDULE BELOY 1. LOCATION OF INSTALLATION cailing the center. (Note: the tele,~no~e /~.z r tftcJJe- (~. _~M.^rthe O!t'JorNEiIi',iI~eS:ilij'e~~i'Rl-Single or ~enteris1.800MIf>};'~'i'?,'F'amilY per dwelling unit. LEGAL DESCRIPTION 'Service Included: 17tJ3 )'f 2- ~ (J)) 60 Items Cost Sum JOB DESCRIPTION S 85.00 ,.",~ J..Ir,..!) Permits are non-transferable and expire $ 15.00 if work is not started within 180,days of issuance or if work is suspended for go (fU 180 days. ,$ 40.00 2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders ~/' . _ Installation, Alterations Electrical Contractor.~ ~ or Relocation: Address /OC(Z ~ rHISP1=q~rr: 200 amps or less ~' , ~ . SHAW to 400 amps Ci ty ,veL Phone 72-,/ st;:'"",';;,IZEDUN a, IFt1H~o.Q...,a,mps , c:&--:!.Vl/ytt:NCED ~ (J't)O'it(mps Supervi.~o License Number f IANY1~A ORIS~ a ~~NlD1.ts I~ / "'1 YPERI~conne Iiiifi Expiration Date ~ 1 , /''Z'J2? 02 C. Constr Contr. Number t/J -' ~~ /2.( 7' T Expiration Date , Signat~perVis~rician I Owners Name Address Fw ,1.(2.& /lr--nk , &.66ft (// ew Oa Phone iff'!':' 76 7b Ci ty e P1 C {;; ,v e: OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: -------~-1---------------------------- DATE: 61j.f 'If ' RECEIPT II ~ OS /.ft. S'I J iJ / RECEIVED BY: IM/ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits volts $ 40.00 $ 55.00 $ 80.00 see "B" above " New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Y1~~__ Circuit or with Servic~~~-~ or Feeder Permi t / $ 2.00 Miscellaneous (Service/feeder -Each instal1ation Pump or irrigation ' Sign/Outline Lighting Limited EnergyfRes Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .,.i~ not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 ,<62 .. 't. (0 2.-"Ic. ltg'. ..-r.