HomeMy WebLinkAboutPermit Electrical 1999-3-30
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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
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