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HomeMy WebLinkAboutPermit Electrical 1999-3-30 , ,I , The following project .f)J JJ zoning, and do.. no~~:qU~ml"ed has the tOllowi/1ltl"'~1 approval. ' u re .peclfic land Use ~~ir~~g~~~~GON 97477 Zoning ~.o.VLELECTRICAL PERMIT :?:;-OICA~~ r INSPECTION REQUEST: ~-'j'jJ: ~ - ~o.-cv"i City Job Number ''''f ~I .,t-, ') V OFFICE: 726-3759 Aurhonzed Signature v.. J. ~. ~nMPI~TE FEE SCHEDULE BELOY 1. LOCATION)F lJISTALLATWN ;;to q t. h!?--nI .s''/. If!tlfJ~r:IJD57oo JOB DESCRIPTION p~ li1l~L El,,7),J?All)r"-' Permits are non-transferable and expire if work is not started within 180 days of issuance or if york is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical Contractor [:/ f ~k' Address{"'LA C /,,pii ;;' ' Ci ty S1~~~f~) Phone "7 '1'1 - :Lb6.J supervtso~License Number ~~ Expiration Date Jo/IOJ! ~I Constr Contr. Number ~~2-- Expiration Date ~/~) ~~ , / Signa~f ~p~ising Electrician ~_.M~7i::) Ovners Name wtc.k rMJ~/Z" Address Jff1cj A r r~ <:::.j-y}rJ- Citfjy,reu./'f. ;0 Phone7J/7-1i1I5 ~ {N~ALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: I DATE~-----~t~()jt~----------------- RECEIPT 11: V~~0 , ' RECEIVED BY: ,~, '/~vr ~ , A. Nev Residential-Single or Multi-Family per dvelling unit. Service Included: Items Cost Sum $ 85.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home, or Modular'Dvelling Service or Feedep~.'P''''_ _ ,$ 40.00 . . " - -I Inr:'o,r. '....1... . IJ\ S. F d ".."', erVlces or ee ers ',- ::"'iT' 'oT Installation, Alterat~ons ~ or Relocation: ""-'UIVtUFOR D. Branch Circuits $ 15.00 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to, 600 amps $100.00 , 601 amps to 1000 amps $130.00 Over",IOOO ra!!lp'~j,~ol,M, ,$300.00 Redrrl~eclti'PJlJ1toPt~d b Ic.~lre$ y40 !pO NotifIcation Cent"r T y "'" vregon Utility C. Te_m.pol;iP:;.))?ltllfJ~,W~~'b'i'3. 'Pi!e6ensset forth. Ins,~a,ll ~<!~~R1l1 o~ta~~ tIlr\l~ijh Ch'lfl &!!Jl't'tf'; p on . , callinQ the e",,'" copies of the rules bv 200,LW!1pJj: iRrthYe,ss' (Note: the te/eJ.%l(~Q.. 00 201 amps~ toWperra1lipsUti/itv Nntit$.~S::. 00 Over 401'"'1:'6'e600'-limjlS132.2~"4) S' 8'b'~00 Over 600 amps or 1000 volts'see "B" above " New, Alteration or Extension Per Panel One ~Circui t Each Additional Circuit or vith Service or,Feeder Permit --L-- $ Mis~ellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL i :j ra- S 35.00 3 2.00 ~,/" no t included) 40.00 40.00 20.00 L $ $ $ S 36.00 #--' <7 ,,_ SJ.:)~