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(,