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HomeMy WebLinkAboutPermit Electrical 2007-9-11 ELECTRICAL PERMIT APPliCATION City Job NumbWm)W7 - ()o(om . ,',.: .. ,. '. "'.' -'1' -., ~.:'., . LP?C4TIONOf LVST.{1L~4.TION:;~i:.:.,~;t' 16Cj5"~~~~~'.~'.' LEGAL DESCRIPTION: L, \[o~ Af) ~A... ()C\LfCJO JOB DESCRIPTION: 1000 sq. ft. or less "n ~ . -, -, Each additional 500 sq. ft. or 6-1/ It1 {(~j <V r A ~I R~ (]{k1tJziylportion thereof Permits are non-transferable and expire i ,ork is Each Manufact'd Home or not started within 180 days of issuance or' work is Modular Dwelling Service or $50.00 Suspended for 180 d~ys. Feeder ATTENTION: Oregon law requires you to :,,::::::%5;~~Ti~~~;5 ',~:~1i:;~ms~f=~~~~1; P b 201 Amps t~,a~Ittoo center, (Note: the l>>~n9 Address 0 0 j., (; q 7 40 I Amps ~ilIi1l\l~ the Oregon Utility 1$q>ti!l!OOlion \ ^ I 1 . ) 601 Amps to 1000 XA\~tar Is 1-8uu~~-~~1hoo City'VV(.J!,'(rvjJ/f Phone JiJ}'~7):t Over 1000 AmpsIVolts $375.00 Reconnect Only S 50.00 4-7)) 5 Expiration Date I 0 ~ 0 '7 130 L/Lf& Expiration Date / 0 " 0 7 . Supervisor License Number Consu'. Contr. Number _~nart;;ing'3~L ) Owners Nam~\:a lhJ {~ Address 'SCl5 ('2..om b ~ ~, City ~ tJ _ Phone '1 Lt, -5;)51 OWNER .I ST ALLA TION The installation is being made on property I own which is not intended for sale, le:::l.se or rent. Owners Signature; Inspection Request: 726-3769 ZON /...-()2.I INITIALS Pl'---I. DATE ~-\\-tn SOURCE mp::5:)?) Date q-I C-iJ1 ~"'.' . "...... ,",." ,.. .,,-. " . '\.",' ," ','-,. ,"'" ".", 3, .;:'COMPLETE FEE SCHEDULE BELOW, .'""-'-1:' .,'i'~~: .: .":.., '. ". .,,,:':~': .'~"-'~~:~'-'.::. ~~-'.., ':~S,CA'~:NED A, : New Residential':' Single 'or JV1ulti-Fariliiy'pcr dwelling unit.. . '".... ......~.~. ..~t""....._. ., ...".,....~. """. "..rl._. ..... " .J..... Service Included $106.00 $ 19.00 .:/""_ ~..r'~_'?''':'..;. <[/:;1',',.;'...1'"0:. ....~~.." cr,-.J.1.-~-~,~..., '.,,;..'~.i, '.I!~ .".'#;>;.;,;'.... C j,. Temporarv SerVIces or Feeders ,\,~,..::r;;'"t<~..';.'~'; ~" 'v" ~'-';";'I:..I'...:;. ~"'~-;'\ . . ~~. ;__ ~,.-<...~...._:......_., ...""'':-_. "'".......!.~:;J.,.,._....,t:'., -;...,:-.,;.,,'_, .:' :.: Inst~dfret~eration or Relocation 200 R.p/fg fefffJlIT SHALL EXP'DC IC TI-1~ ~lI~9lK 201 '\\'J1ft-fMl!2r1:l"8NDER THI~ DCDMIl$IB9IQQJT 401';'B~Mv~~I~~reI1jR IS ABN',;C'~'~n ISS\l1l-00 OverMlfl'PI'1leP 19A\Opq;P.l1OO~ee "B" above. ,;" '-. ....-..-....~. t~',..._.',: ...~.h~..'..-... 0"1 ..' ":'i:" ,:;IJ ):t~ ,~'. _'; . ..\ D. ' Branch ClrcmtS\,t.,,-," ;?~:'~-':~! ,,;:..,;',~~ .;......';., ~~:.. ': ~" ,.., ~ .'). -' ';:,:';.J}'. 'h . ,". .. 'n ...... ~.~~d.:.. ...'>#; ...',," '.~".<' '." L. ... 1...:.,..,J.", _..? _ :..:.. :... ;"j ..:.r '-j~_.. 'j... - New Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 43.00 ~/.~ $J,.OO liK 7 ',"'."i '\.: ::'~;.,,;;.'_ :'.~,+;';~ ..1 "'.~. ~~.;.:-".'" ,........... "'." .....~:.,. ," .' E. ~Uscellatleons (Service/feeder'not included) -Ea.ch 1i,stallatioli;. .....,_.~;-t~..,.,~.......;..,-.-_.:.M.~..~. -..~ .....,~_...~-..- .~....., '.'-' Pump or irrigation $ 50.00 Sign/Outline Lighting $ 50.00 Limited Energy/Residential $ 25.00 Limited EnergylCommercial $ 45.00 ~linimum Electric Permit Inspection Fee is $~5.00 + Surcharges 4. ;'SUBi:oiAL'OFABOVE;."~; 7>:,::,,\' qt? uO :. : ~ ".:"",_ '.' .~_.., '..... ''7',:" .' ';q' ~,. .;. .,., --"". ~ . 8% State Surcharge -'I' 9 0 10% Administrative Fee '7 '.Ii- LI 5% Technology Fee q. r;;;(J Jf 100 . -5 f Shared Drivt.'{T:)IBuilding Fonns/Electrical Pemlit Applicntion 8-06.doc TOTAL