HomeMy WebLinkAboutPermit Electrical 1998-8-19 . slPII!LO zoning, and doe<> applOllel. , i 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 ' _h7*>1 () ~ \\ illY rou, l 11. '\ . A. \rff{~~P~tA\olD \ C\ .l9BRESCIU?fION ~ . ~. V CI..D\ 0 If\fr' 9--- Q.~q 1-2- 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 .~ ,. / ~ 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 \4<;=\~ l~ I'" n.1 ':ld-