HomeMy WebLinkAboutPermit Electrical 1998-10-6
. P.02
ATTE!:lN:Oregon law requires you to
fo!,ow ~u'es adopted by the Oregon Utility
Notlf.calioR'801ll!lth, '__ _ "
· I' 5 1. 10
., , n ZED UNDER E WORK . " 0 e ru es by
COMMENCE THIS PERMIi.lC'.._ calli e,.., te. e telephone
~ll'Ill'~ DORISAB~~9/IR'(<!ng~~~~ e.OregonUliIityNotification
'')~'I Pr-R'n"Zohl~!al'ei1C8 "t.i'\)rr'.......g.........- .... Center,s 1.800-332.2344)-
, epprov . .
ZZ5 HFTlI STREET Zonlno l0 EIJ:;Cl'RICAL PERHIT APPLICATION
~~~i~;oREg~~~~ 9m:'!mIJO.{v JA~ City Job Number q~ 1d.5]
OFFICE: 726-3759 AuthorImdSlgnalw9(\ r^- - , .
~. ~u~r~.~ r~L SCUEDULE 8ELOV
1. LOCAIJON OF IN~LATION
\<;<()<i \,)~on" ~.~\r\''.h.1' ~ A. Nev Residential-Single or
,. Mull i-Family per dvellin!r uni t.
=~Al, DESCl\J:.PT~qN ,( Servic~ Included:
~ _ \\\.h_\(J.,~\f"Q>....1- 17 0 VJ.& rf1.0i-/fDI IL~m:: CO" t
"'''Sep-04-9a 03: 27P
.
V
!
NOTICE:
.
,..... \ JOIl DESCRIl'ATON , ; ..n . '- . \ . _ \.
~~^ ,- \')-()J b.u,\,. {'J,,;-' \lJ\L~
Permits are non-transferable and expirC!
if \lork is nut slarted vilhin 180 d<lY::;
of issuance or if york is suspended for
-J.ll0 days.
~'D :3:l>~ - 9:1 ()
Z. CONTRACTOR ItgTALLATION ONLY B.
El"cLrical cOnlr"C(O~'\U)~"'-'l C;::\~.~
Address '1~'lq Sb1AJ'I"~ ~o...\..._\l~
City \\~A ()Q Pho~li4-~.-'3Ltb
0<IP~rviS01' License: Numu<:r 4/40<;
,! ExpiraCion Date
Conslr Contr. Number 2:/.-l--':li[) L
\ Expiration Date 1~/c,5f
"'tr~""'m"d'j"
Oyners Name ~ 'oa--
Address 1<;(01 Mi~,- ~ ~
\ ---
741- '66'/:::,
Ci ty <~ Phone
OVNER INSTALLATION
The install"lion i" being m;lde on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------...-... - ---- .....-------------------
DATE: /6-lrq<{
RECEre! If: ,. ,'--"
RECEIVED 8Y: ___.-p..J
1000 sQ.ft. or less
Ilach additional 500
sq. ft or portion
thereof
EilCh Hanuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Illstallation, Alterations
or R~.location:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Ovor 1000 amps/vollS
Reconnect Only
c.
Sum
. S 65.00
$ 15-00
,$ 40.00
S 50.00
$ 60.00
S100.00
$130.00
$300.00
$ 1.0.00
Temporary Services or Feeders
Installation, Alteratjon or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lOOv
D.
Branch Circuits
Nev, Alteration or extension Per Panel
.'
Miscellaneous (Service/feeder
-Each installation
rump or irrigation
Sign/Outline Lighlillg----
Limited ~nergy/Res
Limit"d Energy/Comm
One Circuit
Each Addi cional
Circuit or vith Service
or'Feedel' Permit
E.
5.
SU8TOTAL OF ABOVE
5% State SUl'chargC!
3% Administrativ" F~e
TOTAL
$ 40.00
S 55.00
S 80.00
VOl ts see "B" a~
L S 35.00 3<::::(()
s
2.00
no t - included)
S 40.00
S 40.00
S ZO.OO
S 36,00
':2.,c::Cb
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fJ..1: 0.5