HomeMy WebLinkAboutPermit Electrical 1998-8-19
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Zonlna \ill NOTICE:
~\~p~ THIS PERMIT SHALL EXPIRE IFTHE WORK -
22 1 F. rf\ .omli\JH141:U UNDER THIS PERMIT IS NdfLECTRICAL PERHIT ~9ffiLI TION~
A , REGON 974'" I
INSPECTION REQUEST: mM6!i;ED OR IS ABANDONED FOA Ci ty Job Number 10
OFPICE: 726-3759 ANY 180 nAY PERIOD. 3.
COKPLETE FEE SCIlEDULE BELOll
1. j..pj;A.TIONn>F INST!U,~TIQ/:l l 'VI '
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C\ .l9BRESCIU?fION
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Permits are' non':'transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION .ONLYB.
Electrical Contractor/3f)J, J;.s ),RY / ~ .:The..
Address )9'{) J~ '/l~S~grv ~//e..-.
. ,. r ..
City~ "'...~ lJ, Phone.b-(7Q -?e;??
Supervisor License Number ..~?d--S
Expiration Date /0 - /- J; x'
Constr Contr. Number :76.;:1 ?,C;-
Expiration Date /- .;:zS-=- Zl'C>
Owners Signature:
---------------1--7--------------------
DATE: . r{,/rf qr /l
RECEIPT ll: i iJ 5/(?' " /. /.
RECEIVED BY: A. ~~
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
1000 sq.ft. or less \
Each additional 500
sq. ft or portion A
thereof 'I
Each Hanuf'd Home. or
Modular'Ovelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation,
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
Items
Cost
Sum
85
(.pO
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 ampS' 'QT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Signature of Supervi~ng Electrician
-tirlu.i p:j-- AJvJ
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/ ~ U. L 0 )N....""~ D. Branch Circuits " "
Owners Name "li I Tlt~, 0 ~~ \~)) \ w-!pNTION:Oregon law requires, yOU to
[\(Q 6A,. / ,k1 c:::.. IOllow rules ado_by4lltew~M~tRrr: Extension Per Panel
Addre~ssv loN., _ ITL-. ~ /1~~~R;;_;~1n~~~~{,,~~aresetf~~h $ 35.00
City 0 r\Q. Phone_T\\ri6da.~maY-b,Fl&1t ~~i?: ~~2-o01-
. 0 '/!l1feBiE\:" It jI'~lil_vice
OVNER NSTALLATION ca"bmg the centero~~mt~ $ 2.00
, num er for the Oregon Utility Notification
The installation is being made on Cen~ris 1+~a~ (Service/feeder not included)
property I own which is not intended -Bach installation
for sale, leas~ or rent. Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
volts
$ 40.00
$ 55.00
$ 80.00
see "B" aDove
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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