HomeMy WebLinkAboutPermit Electrical 1993-7-22 (2)
The following project 89 Gubmltted hIE '1'Ie following
zoning, and does not require speciflc land use
approval. ELECTRICAL
97/,77 Zonina lW
726-37691 Z;'1 _t:1;?
Date ~'V (/
AutnorizGd Signature ~.. COMPLETE FEP. scnEDULE DELOY
. 1. U1)T~~\~{'f~~w~ ~tQ rt- A. New Residential-Single or
Multi-Family per dwelling unit.
l 'lOR~ION ~I HoLf4_l1serv;ce Included:
~~OD 'DE~CRIP'd'I&N .n Q '1r.{\~1000 sq. ft. or less
'-Af\j,XJLj Df\.rf\l'L.lJ) of\aj- ("W'I' Each additional 500
r X -- sq. ft or portio,n
Permits a non-transferabl~and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
100 day~. Service or Feeder
225 FIFTH STREET
Sl'IUNGfIELD, OHEGON
INSPECTION REQUI~ST:
OFFICE: 726-3759
City Job Number
Items' Cost. Sum
f $ 85.00 ~.
~ $ 15.00 :3J)
$ 1,0.00
Services or Feeders
Installation, Alterations or
Relocation:
2. CONTRACTOR INSTALLATION ONLY D.
Electrical Contractor ~i lis Gleafrl'c...
t\ddn~ss 3 \/0 LUE31' \ rth
Ci ty ruo e1lP _' Ph~ne 3LJ3135 3
I
Supervisor License Number 2-o9l.f C
Expiration Date \0...:....\ -q3
Constr Contr. Number ,J !:~5 I
Expiration Date ~- \~L\
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amp~ to 400 amps
401 amps to 600 amps
601 amps to.1000 amps
. Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
4{)
$ 40.00
$ 55.00
$ 80.00
see "D"
or less
to 1,00 amps
to 600 amps
amps or 1000
200 amps
201 amps
Over 401
Over 600
/~~ ) ,cr Electrician ~
. o\lne~ Nam~g\0~ CHNm~'
Address /1; Q() f11t11uJJ.11. sr
CitYS!f11iM,f--ThJt9 ~ lfi.tf7
OYNER INSTALLATION
above
volts
Dranch Circuits
D.
New, Alteration or Extension Per Panel
$ 35.00
One Circ\.li t
Each Additional
Circ\.lit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder. not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Liml~~~ Energy/Com~ $ 36.00
5. SUDTOTAL OF ADOVE /55 f' ~
5% state Surcharge -t.7!:
TOT AI. / ~_ ~'7 S-
The installation is being made on
property I own \lhich is not intended
for sale, lease or rent.
Owners Signature:
, .
~~~;~~-~!:!~'77;=~)?;-~j-------------
RECEIPT #: .__'_i'c,r?-.J:_
ltECEIVr:D BY: .., ... m..'~.... ",,______,.._