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HomeMy WebLinkAboutPermit Electrical 1999-2-5 (2) . . iI.< ' , ATY\::" . ted by the t 1 rth lollow rules adoP Those rules are se 9b.. Notilication C~~~~~1 0 through OAR 95~I/~~0"'/" in OAR 952-0 Y obtain copies 01 t~e r~oneo~~/'I/O' ~p'%r't 0090. You ma nter. tNote: the te ep ion' 0681/0 il88" 2251llp~ ~1ion Utility No~"at 0% I '6q"'6""i!,, ELECTRICAL PERMIT APPLICATION sll~~I:J;:CB~~~~gNl3T.14~II}q". . '{} ""8p,,0'I}il811} 1717 6.....-'J INSPEcT.:rlfJileREQUEST: 726-370!J"<1.s clqclil~S~ Job Numberv~'-",O Ie / OFFICE: 726-3759 (ql/ilf. I/<1/J8611/9 /J~ PLETE FEE SCHEDULE BELOY 1. LOCATION OF INSTALLATION .:J,O.>..,(J (.i,r.-n. v...k~\.l 1-< )(....~ J rl~rfrfIr\~SGJ JOB DESCRIPTION ,,,,<,t-,~\ 1 s\1= .,\\\.rvi"v~~"" ",b...\\ 5..''::(' Permits are non-transferable and expire if york is not started vi thin 180 days of issuance or if york is suspended for 180 days. ' 2. CONTRACTOR INSTALL4TION ONLY Electrical Contractor~::::...te <:"'\r~R~~ Addressl<l-..IO ,kkr"d-'t'hKcI . , Ci ty :F:, ,(,.<>H")<-.. J Supervisor License Number Phone.!;j'i( '5 - 'Y;'iio ~?5 \ ()- I - 0, C) Constr Contr. Number J-{)~d,5S-CL3 \0 - I - 9 '1 Expiration Date Expiration Date Signature~~perviSing Electrician #' ~.Jl/1 AA . ." Ovners I.Lffi~o 1:'11 D. Add~e s 2D~ C;~~ . Ci t ' ,(\ Phon;l4\ tl'rf'fS ~ I STALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: ------------~'~~----------------------- DATE: ' VIti, RECEIPT D: _ . 0 H.-f (T .! RECEIVED BY: I'.Y 0.v uni t. Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dvelling Service or Feeder $ 85.00 $ 15.00 ,$ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 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 1000 amps/volts $300.00 Reconnect Only $ 40.00 CN01jenillorary Services or Feeders T t~~t~llation, Alteration or Relocation HIS PERMIT SHALL EXPIRE IF THE WORK AUTf,9,Qllamp.~if1:'EJess, ._.. $ 40.00 201 a'iiiPs t"b '46al~~~~r,1I1 '';> "OT$ 55.00 COW6~'itrS~(j1Jrt6'3 600.Mnjp~.:D FnP $ 80.00 ANyq~~tJh6,oPEi\FJ>J. or 1000vorts see "B" above' Branch Circuits .. Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting \ Limited Energy/Res Limited Energy/Comm not included) 5. SUBTOTAL OF ABOVE 5%'State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 4D~ rJ.I..,.jU J .. .;I..L) ~"3 .:Ie) 4t)