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HomeMy WebLinkAboutPermit Electrical 1999-9-28 . S_NGFIELD The following project as SUb.mittsepde~~~ t I:n~ use zoning, and does not requIre approval.. \f\ 0 f( NOrn::i:; 3.:..~ 'C .Cj9 225 FIFTH STREET Dat"l'h,i:lr-I:r1IViii !:iMALL~TH~CAL PERMIT APPLICATION i:;~gi~:fiEg:~~~ 9;;~~t~~~"uNUERTHI ERMIT~~~"!iob Number 11/~ ~~ OFFICE: 726-3759 COMMENCEOORISABA ONEOFOR . . ANY 180 OAYPERI003. COMPLETE FEE SCHEDULE BELOII 1. LOCATION OF INSTALLATION . q~~ hL6eto.+ L/Io/lle " A. oLEGAL DESCRIFTION / oO'1.1'J S' 2- '2. oo8CJt) JO~ DESCRIPTIONt I (' 11l.t.u. ( Permits are non-transferable and expire if york is not started yithin 180 days of issuance or if york is suspended for 180 days. Ney Residential-Single or Multi-Family per dyelling unit. Service Included: Items Cost . Sum 1000 sq.ft. or less $ 85.00 Each'additiona1500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular. 'Dyelling Service or Feeder $ 40.00 2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders Installation, Alterations Electrical Contractor^/.l2.nIw...w- r",A"~-k,~lEZ.ufn<-or Relocation: Address _4s I sJ..LII. ~/ d,..}.T l!- Ci ty "Yf';^'U~".J.L Ph~ne '72..(" - (no2"Z.. Supervisor License Number /C 775.' Expiration Date /0-6 I _ 0 I .200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to' 1000 amps Over 1000 amps/volts Reconnect Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Serv~ces or Feeders Installation, Alteration or Relocation Signature of Supervising Electrician J/~ ~~ Oyners Name 'JI..d s.J...4RT' Address .-5: '2;r., 'p',.I/- Y ITE T,'OI\l.("l ..'1 {"'" . One Circui t / City spr; . ,Plioner~Me'Q{JiI'llSYOUIO Each Additional QUf; .' sadOj.JleaOYlheOregonUtilil Circuit or yith Service O\INER IN ,~.J.J!ifiill'lPenter. ThoserUlesaresetfo~h or Feeder Permi t $ 2.00 nO! 52-001-0010 through OAR 952- 01 The installat'1'6!'il~lb'e'i1/flflbba'deX1J:J!esOflherUI~b 'Miscellaneous (Service/feeder not included) property I oYn 'VI\1J.l(!htt::fS=(jftlr1!r.t.i!~~.!!~'~tele ho~S Y-Each installation ' for sale, leaJWrn~e~iheOregOl1UtilityNorr re Pump or irrigation $ Centeris1-aOO-332_2344/ lea Ion Sign/Outline Lighting $ Owners Signature: . Limited Energy/Res $ Limited Energy/Comm $ 35 ~ ~.4S o:r I. _ -'<R.Sl[ Constr Contr. Number //0 to /,~ Expiration Date 0/-1'>/-,-,,1 DATE~---~----------~~ifJf9li---~------ RECEIPT 11: () ~ ,70 V /1 ! I (/ RECEIVED BY: "-..Y ,,~ 200 amps' 'OT 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 liB" above Ney, Alteration or Extension Per Panel " 5'~EBTOTAL OF ABOVE 71,~ State Surcharge' 3% Administrative Fee TOTAL $ 35.00 3.5 40.00 40.00 20.00 36.00