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