HomeMy WebLinkAboutPermit Electrical 1999-1-5
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follow rulesadopte .' Y e r
Notification Center. Those rules are set forth NOTICE:
in OAR 952-001-0010 through OAR 952-001-
0090. You may obtain copies of the rules by THIS PERMIT SHALL EXPIRE IF THE WORK -
calling the center. (Note: thel~~~ prOject\asls~f%lifr!-h' 111\1nJ:R TH ~ P ,
nu~~rll'O:IRM <s~u.Utility~~~es n~t'~equir.e s~~~.~s rMe'fOl/bwink"'ElSf&fu!~hPPERHIT APPLICATION
SPIrnl9"~JsDI,-80llKWN2S4'4i)77 . COMMi;:;\'Lt::~/f,J'f\~SIJ.~~ANDONED FOR
INSPECTION REQUEST: 726-'J1~9g. J~~~6--~,{:&~t~V Pi=F{!OO Ci ty Job Number q ~ {o ~ (p
OFFICE: 726-3759 Date - ~- -'17 -- - ".."..
Autnorize' / _- \. - 'l r,(ll1t.LETE FEE SCHEDULE BELOY
1. I II,.OCATION OF INSTALLATiQi#1nature Lt<.../
I-((Q~g . BI\.U.~, . A.- Nc:w-Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
.llQ.)..'3"l. e o4~ 5&JO-O Items Cost Sum
'JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor ~.~
Address IO<f2- ~ ~ ,
Ci ty ~Q..1~ Phone 7Zc;-fSCSV
supervlsofLicense Number 9'CfS - S;;
I 2-/ r '1
,
Cons tr Con tr. Number. 63/-:s 7
/ 2-/ r "f
Expiration Date
Expiration Date
Signature of Supervising Electrician
Ar ~
Owners Name ~ ~~
Address li?J ,II ~ ~
Ci ty Co tf4..1\C- ~ Phone q t.{). - 3417
IJ
0'llNER INSTALLATION
)
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------------~--------------
DATE: I -~ - ~-i,
RECEIPT #: ~~~
RECEIVED BY: K.vl....:;>, ,
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or 3>
Modular Dwelling :ft I
Service or Feeder ~.$ 40.00 ~,I~
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps.'oT less
201 amps to 400 amps
Oyer 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 or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 ;;.--
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~:I'p
-$ ot..t.J:-(..
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