HomeMy WebLinkAboutPermit Electrical 1994-8-3
I of/
'{'0'
:i1'1.f",l,.:.I: IELU
225 PI Fl' II ~TRlmT _ The. following project 89 &~bm~edhaG the fon~Srf:I CAL
Sl'IUNGFII~LI>, OIlI.:GON 97"77 lOnlng, and does not reqUlfe specific land use '
INSPI~Cl'ION REOUl~ST: '726-frt:fjvaJ. : ,City Job Number "'7 ~&> ~~
OFFICE: 726-3759 Zoning MOJZ., ,
Dete {:?;,f14 3. COHPLETll,' PER ScnEDULE DELO\l
1. LOCATION 011 INSTALLATION ,'.
~~ f-s-s- ~r~ri~n~ure ()fVr.:
LEGAL DESCRIPTION
iA~-:z..3'2~3_ ~~~~'
- r
New Residential-Single or
Hulti-Family per' dwelling unit.
Service Inclllded: .
Sum
Cost
Items
1000 sq.ft. or less :2. $ 05.00 ~
Each additional 500
sq. ft or portion
thereof Z $ 15.00 ?Z)
Each Hanuf'd lIome or
Hodular Dwelling
Service or Feeder $ 40.00
JOD DESCRI~rION /?2
~~~ ~ .(/~CC7< ~
Permits arc non-transferable and expire
if work is not started within 100 days
of issuance or if work is suspended for
100 days.
Services or Feeders
Installation, Alterations or
Rclocation:
2. CONTRACTOR INSTALLATION ONLY D.
!:lcctrical contracto,('.iovo\(aJloj Yloc-h.,
Addrcss ~"(). ~\( /)t~),)OI
Ci ty lliWrR Phone -r::Aq -51Dx
J '
Supervisor License Number 3~Z4S
Expi ra t ion Da te \0/1 Iq S
( I' C.
Con~; t r Con t r. Numbe r ,(o(o?:f),
Expiration Date ' ,c=y/qo
Signat~re of Supervising Electrician
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 100~ amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 00.00
volts see "D" above
200 amps or less
201 amps to ~OO amps
Over 401 to 600 amps
Over 600 amps or 1000
h ).~4/t/f'} (,91 ~<::tlq:- ,
- L r/ ~ D.
Owners Name ~r-v;C', ,-:/ c- J
/ . - <iP"
Addrcss 77 y" ~s~~ ~
'City j,..,-rL.p.... Phone ~ti;;;-6~
O\/NER INSTALLATION
Dranch, CirclIi ts
New) Alteration or Extension Per Panel
$ 35.00
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
P~mp or irrigation $ 40.00
$ign/Outline Lighting $ 40.00
Limited Energy/Res $20.00
Limited, Ene~~y/Com~ $ 36.00
The installation is being made on
property I o~n which is not intended
[or sale, lease or rent.
O....ners Signature:
, ,
5. SUDTOTAL OP ADOVE' ~~-.D
5% State Surcharge /C>~~
TOTAl. 'r~ ~- -
~~ Z/b.. ~
I _~~_____________________~_____~________
'I
DATE: ;:;: ~-f-~cr
RECEl PT #: /c:r~ '2
HECETVED BY: .4~
..~,,_..,_,__"h'_