HomeMy WebLinkAboutPermit Electrical 2004-12-2
Installation, Alteration or Relocation
200 Amps or less
Constr. Contr. NUh,trei(/,',\ S I", ~ ,8.. 201 Amps to 400 Amps
71' ~ ,"....j 401 Amps to 600 Amps
Expiration Date,i./,%,>,\>2,j;'DS. 0 600A 1000V I "B" b
l:,' "'-'IWEL1, ~f:,~"lL EXPI9E D ;;....'i&;%~~~~.:~.~~~,1Jl~
Signature of Supervising Electrician'utR TH ' IF THE . &",P1n ,'..rc~~"",,'l;i:~''O'i'f~
C./#" ~fIN}' 1&,;;.~U ORj . IS PFR WO"',
7~' .J.:~ (' ';o~ND WIT IS '~ew Alteration or Extension Per Panel All clJ
' tRIOn ONEn FOR NOOne Circuit t $ 43.00 L\-;).
Each Additional CircUIt or with
Service or Feeder Permit
Owners Name \ ~ ~l (\r~. '
Address Dfj~ IJ i ~O . l'Md
City ~~Nl1m~~~ne ~41,~'nl
ATT~NTION~~gon " Sign/Outline Lighting $ 50.00
. nlll~ aw reqUireS you to
OWNgR!~Sl'~!l-\\'!JHp"led by the 0 U ' . Limited EnergylResidential $ 25,00
NO'lf""'i'" ~ . regon tlhly , ' ,
The inJ.~Vl\ho!,\(b~~g"m"lf~eTdn-1jf(jP'eri};1 QY.>'!) ~9!%rth LImIted Energy/Commercial $ 45.00
IS no/ mtcnaed'for'sale~lease 6rlreD!.ugh OAR 952-001- Minimum Electric Permit Inspection Fee Is $45.00 + Surcharges
009?:. You may obtain copies of the rules by tle5i~.' '-;~.fi:;"'~~~~'~.' ';M' .~ .\ A c::. 00
Owners,Slgna!yl'!':,e center, (Note: the telephone 4. ~i!I~ t-Ir',,) ,
, number for the Oreran Utility NotIfication 0 ~ \IX.
"'M'~, .. . r ' 7Yo State Surcharge . .;..)
- -...-. ...... , .....JV-vu.::.-~v'+'+).
10% Administrative Fee . C;O
TOTAL f\~.(~
.
I.
LEG(~f?ij)4r4
JOB DESCRIPTION
per~lt~;~~r:~ab~~~i~~
not started within 180 days of Issuance or if work Is
Suspended for 180 days.
11i'j'.Qi'MiD!I~ ffiVSil";;.i'li'Y"I.....'OMJ'b-mv.;;
2. ~~Y+~~..,"M'~~
Electrical Contractor ke;h ~ EJe( fr/c.j'7jy
Address prJ ?JAY 2RZ!
City 9Q1lQ-
b<gb-SILIf/-
Phone
Supervisor License Number 4, L\ "l S
lDIDI\CYl
Expiration Date
Inspection Request: 726-3769
Service Included
1000 sq, ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$ 19.00
$50.00
Irmv<.iU'l""'~~~\>>>;(ir\~--~.tiI
B. . i'i"~~,!' enstlllii iY.!',lJl@l'j;..'\tl!t~ .. o~.;,
200 Amps or less
201 Amps to 400 Amps
40 I Amps to 600 Amps
60 I Amps to 1000 Amps
Over 1000 AmpsIV olts
Reconnect Only
$ 63.00
$ 75.00
$125.00
$163.00
$375.00
$ 50.00
C ~",i'''-''''''''''';'''!..''''~~''.''_''''''''''''''''_~~_''',~i1l
. ~emp'p"-r::y:4'~',.~ . eeQ~~~~U:1'~
$ 50.00
$ 69.00
$100,00
$ 3.00
".r..-..~l..T..~t\'M.~'k:""~~~~ir.;..e.t~'.J~'0"."il',t'~ :rt:\l.!:l1'~".~~.J'~'~"~,ra~~
E. .. c lIancoUS\(sel'Vl ~.der>Dot IDcl~i1~J.\i.!ta~)Il!Ll;l!~ '
Pump or irrigation
$ 50.00
Shared Orive(T:)lBuilding FormslElcctrical Permit Application I-03.doc