HomeMy WebLinkAboutPermit Electrical 1998-2-6
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NOTICE: . . The followln .
THIS PERMIT SHALL EXPIRE IF THE WORK :~. and'M:J= ~s:~,"med twas'the ~
AUTHORIZED UNDER THIS PERMIT IS NOT aI. 6pecfflc land USe '
. COMM~eE~:tNTiP ~~NED FOR ,o&leZ-1;"L1() ELECTRICAL PERMIT APPLICATION
ANY 1AA~~~~RtOO., OREGON 97477 A{.~ . '---: , /) Y; J "\ CJ
"'!NSPECTION REQUEST: 726-Y1t6#JorIZed Signet ,f'I. "'^ Ci ty J rib Number '-1.fJ 0 C1' I
.' OFFICE: 726-3759 ure-L..l.l...!\
,- '
3. COMPLETt. l'iffi- SCHEDULE BELO'W
1. LOCATION OF INSTALLATION
M \ 1Z:WN-I1f\M~~ fu.:.
li ~J5DEP&'i>T?6t6b
O,U1:> "be....\Lt~ .~.
l.----'" I ,
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service'Included:
JOB DESCRIPTION 1000 sq.ft. or less
.::cN~~'T\a-.J ~ \ ~ Ur-\...- ~ Each addi tionai 500
5fY1(J\C.E- Oe\\'u::'~S ~~=VA-\'UL~ sq. ft or portion
Permits ~re non-tra~sferable and expire . thereof . ' .
if work is not started within 180 days Each Manuf~d Home or
~fissuance or if work is suspended for Modular. Dwelling
180 days. Set~ice or 'Feeder
2. CONTRACTOR INSTALLATION ONLY
NAlloNAL-R 12t~
Electrical Contractor~J=1(~~~
Address 2.S1 ~ W, s;n-t ~ I
, .
Ci ty 't=-vCs- i . Phone 485-35""(P(p
Supervisor License Number ~/()~(
Expiration Date !()-- qq
ConstrContr: Number (nS~c:iG
- - -
Expiration Date 3.;.-c q ~
Sign~~Sing Electrician
Zs Name SY(A/'--J ('n't!--f.
Address 3L1oS; ~Ltf-( \JvJ W;1:..
City Sf>~. 'Phon~
OVNER INSTALLATION 7'-f, gl.{L(L(
. The ins talla tion is being' made on
properti I own whi~h is not intended
'for sale, lease or rent.
Ovners. Signature: -
D~T~~~-~le-~-<[Z)-~---~--~~-~---7--~~-
"', RECEIPT #; U% 7~'S' ' '., _ .
-.. RECEIVED BY f\ . 'fY\Ct cJAti:.-do
B.
Services or 'Feeders
Inst~llation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to. 600. amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cas t
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$60.00
$100.00
$130.00
$300.00
$ 40~00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~~r less
201 amps to 400 amps
Over 401. to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
, $ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel'
Miscellaneous (Service/feeder
-Each installation
Pump 'orirrig~tion
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
,One Circuit
Each Additional
Circuit or with Service
or~eeder Per~it
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL ;,' . " "> ..' ,
$' 35.00
$. 2 . 00
not included)
$ 40.00
$ 40.00
~ $ 20.00
;><- $ 36'~OO
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