HomeMy WebLinkAboutPermit Electrical 1999-8-4
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zoning, and does nol require specIfic lend use
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<6- o.f- 'i "\ ATTENTION:Oregon law requires yo.:. 10
Dale - d,o,"'" f II I dId b Ihe (lr.e.o~lltilit\l
,2.Z.5,,;Ii,n>T!J~F'= l~, 0 owruesa ope Y ."EW:; CAL PERMIT APPLICATION
Autho"Sl>1Uil'C!FiELD, OREGON 9 7 4 77 Notificalion Cenler. Those rul~~ i:Il " lIvllII
INSPECTION REQUEST: 726-3769 inOAR952-001-001~thrOughal\-e93~iP(1~Umber qq;j 1<'2.s
OFFICE: 726-3759 0090, You may obtain copies milie rU1~S oy ,-
[; 7 0 3 calling the cel31!lr. (elffipi.!/ITEeFEEoSCHEDULE BELOII
1. LOCATION OF INSTALLATION -SlumberjhrtheOregon Utility Notilrcatlon
'""R, ; c\ 1--<- C = _ a. t- - ~ Cent€riA?1-8fl(h{lCR'e"s'1"'d~ntial-Single or
/&OZ.O'f/f (J'f" 70'0 Multi-Family per d\Jelling uni t.
, LEGAL DESCRIPTION '7\_ \ .l. Service Included:
--r-~"'o(-l.,;1,",,'~ h.q~...L",',l Items Cost
1000.sq.ft, or less
Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if \Jork is not started \Jithin 180,days Each Manuf'd Home. or
of issuance or if \Jork is suspeiIMlO&: Modular,'D\Jelling
180 days, THISPERMITSHALL~I~1QlE~r /
2. CONTRACTOR INSTALLATION ONL1\UTHORIZEDIBt;D~W~~RW'lfl~gIrs
COMMENCEC) OR ISIlffMij~nQRAl t era t ions
Electrical Contractor_r/Q -" YH ~11\'~A-y1pERIOlY. Relocation:
Address 2 \l '1 8 i ~ '-\ -5 1-7c. I..- A,N -<: 200 amps or less /
201 amps to 400 amps
Phone5"LI)- "\"l1-36.,s-\ 401 amps to. 600 amps'
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
JOB DESCRIPTION
J 00 \\~ P S.P.R v~"-~
~"'''-'~))
City FJo~ _.N~-<
Supervisor License Number .3?3 J -, ~
Expiration Date
c::. - ,_<:> '"
Constr Contr, Number :J 0-3'/(,.-C
Expiration Date
) ""-\-0::>'-"
. Signature of Supervising Electrician
-:is;/1 ~~?
Ollners Name f'...'1... JAI
Address '7 'J '" )...j...... ~
Ci ty_ C.-1'1 ...~.....
J3 "~.,~...J
'71 ,JO
6.Ji-'gg't7
Phone
01lNER INSTALLATION
The installation is being made on
property I Olin IIhich is not intended
for sale, lease or rent,
Ol/TIer~ture:
'- ~
DA~E~------1~~1-q1-----~~----~---------
RECEIPT ~: t1, , OIJ) 5'/ iJ 0
RECEIVED BY: ~ ~~
Sum
S 85.00
$ 15.00
," ,
'fool
-.$ 40.00
<
$ 50.00
$ 60.00
$100.00
$130,00
$300.00
$ 40.00
t;1J
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 10qO volts
D.
Branch Circuits
$ 40,00
$ 55.00
$ 80.00
see "B" above
.'
,
Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or \Jith Service?
or Feeder Permit )
$ 35.00
$ 2.00
~
Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation '
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5,
SUBTOTAL OF ABOVE
l'1oSta te Surcharge
37. Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20,00
$ 36,00
,1~/OO
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-IfI- I. W