HomeMy WebLinkAboutPermit Electrical 1999-1-14
The following project'as submitted has the following
zOning. and does not require specific land use
apprOvel.
Zoning l. 'j)(L. AlTENTION:Oregon iaw requires you to -
D e ___ _ . 1- 14-q "\ follow ~ules adopted by the Oregon Utility
22~ F J.r LD. "U(J""L Iw","y,,~on Center. Those rules a~bAL PERliIT APPLICATION
si'IU,,6hAlIIJ\tu0REI;;Q'" Q71.77 'n~52-001-0010throughOAR952'()01' C. / '7 A/-
INSPECTION REQUEST: 726-3-m0. You may obtain copies of tlutll!je::J@1l Number -j ~ ;;; (,./7
OFFICE: 726-3759 calling the center, (Note: the telephone .
number for the Or~on ~IfVllBillicllB&l SCHEDULE BELOY
1. LO~TION OF WSTALLATI.9N Center is 1-800-332-2344).
I j( II ~ .l-J E L. %oFc ,A. New Residential-Single or
, - Multi-Family per dwelling unit.
LEGAL DESCRIPTION />0-11/0\ Service Included:
/7/J; 21. LJ <I (./ C> t? V(..J Items Cost Sum
;0] DESCRIPTION () 1000 sq.ft. or less $ 85.00
// Ire Uk /#t:j,?,- 9 rC')?1 Each additional 500
/ sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started wi thin 180. days Each Manuf'd Home,ol'
of issuance or if york is suspended for Modular .Dvelling
180 days. Service or Feeder ,$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
/) ...- L /.'? Installation, Alterations
Electr~' ca ContractoL' 4;-lP'r;{'/ p,,(.?u4:-//W or Relocation:
'/1 ; . ,/'hpp'"",,,>"
Addres <-0 O~ -'7'/f ' 200 amps or less $ 50.00
~ 201 amps to 400 amp:; S 60.00
City(<;:A1E?,tv'.E'/.l- Phone 7'7~--z.~~~ 401 amps to. 600 amps $100,00
- 601 amps to 1000 amps $130.00
Supervis(lr License Number NOTICE: Over 1000 amps/volts $300.00
Expira t ion Da te THIS PERMIT S~~oS.?~~~fh'E ff"ME WOR< $ 40.00
AU I HuRIZC'n UlIleDijib1falSf,'lSerlii.ilCe'sJor Feeders
Constr Contr. Number 0 &."1' CJ 7'15 f'^""ENCED01ns,tal1a,!J"on,,\ Al.teration or Relocation
_ _ ....., n Iv t\Of'\I-'Uvl\lt:U rvli
Expiration Date /y -/:r-99 ANY11l0DAVPf2"0'0)ramps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Signature o~pervisi~Electrician
~1'~~lj/~ _
~ .......1 />/ D. Branch Circuits
Owners Name f-- u pf ~ ~ rifE c~ ~5' mt.::if..:>..... '
3',., -,} II. ,/ New, Alteration
Address I ""f' (/VI .41'8'h 2., M'
Phone 3 '15-;.- S-f 2,..()
City [iilN:::,f2v.J
"
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
--------------~z-~--------------------
DATE: ',1'1/ q5 I
RECEIPT II:, JI' ., 1 tJ 'jL5' (p
RECEIVED BY: !IV
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting ~$ 40.00
Limi ted Energy/Res /./ $ 20.00 2,(7
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
1<>.00
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