HomeMy WebLinkAboutPermit Electrical 1995-7-21
The following project as submitted has the tollo\
zoning,-snd does not require specific land use
approvaL /J
Zonino L--DfL-
~~ir~~~~~~~GON 97477 Data-'i /2-1 -1) /"
INSPECTION REQUEST: 729-~rized Signature N /III ,
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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/.#r ~~L DESCRIPTION Igtfl,,()(PI~
JOB DESCRIPTION
N ~.F.K
,
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor
.411->>+J 2$ud.~o
3~ 5/';
Address / ..2 ...,. J;U
Ci ty b#rJJ2A~
Supervisor License
Phone ---4/ 7 \- - 2 L} 't
Number Ie!) -=...-:( g:;
Expiration Date /6 -/ ~ '7"
Constr Contr. Number ~$ 7.L-JS-
Expiration Date
9-L/-9c
Signature of Supervising Electrician
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D.
Ovners Name .,v.~~A..v lFd~C',
, ,
'6'1 f 5."5.J d s;--/- I
Address
Ci ty <;'0 p.L.7l
I -
Phone '7.J-JJ.J -h9~
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~E~----------~---tj:~~-~=-----
RECEIPT#:~ ,~
RECEIVED BY: lJ'>U^_/
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number tf~lf4
3, COMPLETE FEE SCHEDULE BELOY
A, Nev Residential-Single or
Multi-Family per dvelling uni t.
Service Included:
Items Cost Sum
lOOO sq.ft- or less --L $ 85,00 ~6'un
Each additional 500
sq. ft or portion '],- IJ;bJjD
thereof $ l5.00
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder $ 40.00
,B.
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 lOOO amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C, Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
S 55.00
$ 80,00
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
$
$
$
$
f ,t;.l>D /.
'l.7,?,
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, ';.LJ-. ':}()
,
40.00
40,00
20,00
36.00