HomeMy WebLinkAboutPermit Electrical 1998-11-10
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h"lo.V"._W.u.t.... STREET COMMfNc UNDER Tf' f If: T~~CTRICAL PBRKIT APPLICATION
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........~DCTION REoUESTI 726-3'691111/ 01 'f p~ IS ABANDO 'MliC$>>'JoJob NUIIbe~' 7 00 f 'f v
OFFICE I 726-3759 RIOn NfD f:()t:> I .
, , . 3. COKPLETE FEE S............s BELOV
J tPJ~/,' TION#!P ;g'2ST~.ATI~,~, /
NI /f4 - .... 7~ U^'~'" . A. New Residential-Single or
~ Kulti-Pamily per dwelling uni t.
LI'.GAL DESCRIPTION / Service Included:
I <107-l>tA60 (){)f05 ' Items Cost . Sum
JOB .R.ESCRIPTION '
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Permits are non-transferable and expire
if work is not started within 180 days
of'issuance or H work is suspended for
180 days.
Wvw.,._.AC'l'OR INSTALLATION ONLY
Electrical Contractor
ATTENTION:Oregon law requires you to
Adlblasrules adooted nv thl> n..,(',,,, I Ita"r
Notification Center, Those f.y!es are set forth
0' ~AR 952.nnl-nn1.1l.ibl:cUWill!}~R g13:J gy,
0090. You may obtain cQfliej! of the rules by
Su~A64M'e E~1iM,~dl~l't~~d~';' .w.."
Ex~~~J>fI !,gr 'llBt9!e,po.n _~t~lity Notification
~enter IS r-ttSv-..,v.r;.-"v......./.
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name d,.:.../?#".N ~E-"<'
Address g:..,;"J?5 /9o//MN
City ~A,,:-..4_/d Phone /Y~:"@?6h
'. ..,,,.,. INSTALLATION
The installation is being made on
property I' own which is not intended
for sale, lease or rent.
Owners Signature:
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DAm: . v
RECEIPT .,:
a&..>......, 'BY:
if/fairy /J
, 1:J;;J~ /
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Kanuf'dBome.or
Kodular. 'Dwelling
SerVice or' Peeder
B. Serv.ices or Feeders
Instailation, Alterations
or Relocation: ,
200 amps or less
201" amps to 400 aIIpS
401 amps to. 600 amps
601 amps to 1000 aaps
Over 1000 amps/volts
.Reconnec t Only
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$loo.0Q ,
$130.00
$300.00
$ 40.00
c. Temporary Services or Peeders
Installation, Alteration or Relocation
200 ampS"or less ......x. $ 40.00 '/
201 amps to 400 saps $ 55.00
Over,40l to 600 amps $ 80.00
Over 600 amps or 1000 VOlts see aB" above
D. Branch Circuits
L
"
New, Alteration or Extension Per Panel
$'35.00
One Circuit
Each Additional
Circuit or with Service
or Peeder Permit
$ 2.00;
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline LightinF
Limited Energy/Res
Limited Energy/Coma
5. SUBTOTAL OF ABOVE
5%.State.Surcharge.
, 3% Administrative Fee
TOTAL
$ 40.00 .
$ 40.00
$ 20.00
$ 36.00
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