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HomeMy WebLinkAboutPermit Electrical 1998-12-2 I"/~ The, following proleoet ~ subm,"~,.. L,," '''sfollowing zomng, and dN'.' .' . ,. .~.Id use \ a:,~proval. ~Zoning_.~~, A1TENT/ON'O - I-,i" <: ~ f 1/ . regon law requi 22' -:n!.tti:.ET No~/w ~u'es adopted by the Orer~up.'b!&CAL PERMIT APPLICATION A6~~ra OREG ,Icatlon Center. Those rules g'on Otlllty INSPECTION REQUEST~() 0 52-001-0010 through o:m ~~ fg8b Number err 0 / 7 7 OFFICE: 726-3759 "F'-' . You may obtain cop' 95 -001- :. . : calling the center {N t ~umb~CHEDULE BELOY 1. LOCATION OF INST4LLATI09umber for the Or~go~ ~~"Ii e te'~~hone <[/'- -156- L. -; 11;U; Center is 1~8~0-3 ~W rwetg~lllial-Single . or - ~Famlly per dvelllng unit. LEGAL DESCRIPTION 17 t1 ~ (ylj 0 02- c'(O() JO~ 9E~CRIPTIO~ J . /f7?1'dr IV'" {P C'lk: C /A 11r I 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 . i Cons tr Con tr . Number :3 )-lp(P Cf-C Expiration Date ID/11 Signatury::Jer~=ician ownersGame 5i~' f3 ~"7 Address J fo r. IJ/rt,l, (/ION ~V City 5,i1M;j [;U Ph6~e 7'11. f 'N'! OVNER INSTALLATION The installation is being made on property I ovn which is not intended for sale, lease or rent. Owners Signature: --------------------------------------- DATE: /"J.! :J.!4P RECEIPT #: I 'f} 3 ~ II If RECEIVED BY: ~ W,..r I Service Included: Items Cost Sum 1000 .sq. f t- or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home. or Modular Dvelling Service or Feeder $ 40.00 200 amp~'oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts B. Services oi Feeders Installation, Alterations Electrical ContractorT'NFI/JfTS( J3Levr or Relocation: Address!OO{.5'LJ Co(u~,g(#-5r,. 200.amps or less . . . NOTIC~l amps to 400 amps Ci ty PO(Z.ILIt~O Phone ;;{ iJ ~- 02..517TH1S PE~l a,~p.s. to 600 amps / (J~ S I (jt'}II St~ CiMP!ffiP(P: flItffi?~ Supervisor License Number 02~ t)("- AUTHOR~t'tJ-Ll~~~~ -R!1l8qfEr>-1 ts . / ~econnec 't 'dtlTfl HMIT IS l'4UI Expiration Date /D 11 COMMEN/EDORISABANDONEDFOR ANYQ~qO /J',~fI1P<e?{~\5D'l Services or Feeders . Installation, Alteration or Relocation D. Branch Circuits New, Alteration or Extension Per Panel $ 35.00 One Circuit Each \Addi tional Circuit or with Servic~_ or Feeder Permit ~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "B".above ,. $ 2.00 {'L- E. Miscellaneous (Service/feeder not included) ~Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 S. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL /2,00 .(g& J {,. /2.'1(,