HomeMy WebLinkAboutPermit Electrical 1993-4-2
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apf.JI;"'~' ELE., crnI€AL9pERMITAPPLICATION _,
""City Job Number q~~
225 FIFTH" STREET
SPRINGFIEW, OREGON 97477 2.:;:;,> L../JfL
~~~~~~IO;2~~~~T: 726-3769 Datc_t.l-2.:7:3 " .
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Authorized S'r. . ,~. , J;Ot4PLETE FEE SCHEDULE BELOV
1. ,JsQ9'\TJ()N) OF I~~I~ ~ rt ') 1~,rk..J. ~~.-l~
~ \ ~)f11 \.A \...AJL./ A. New Residentlal-=Single or
. 7 Multi-Family per'dwelling unit,
LEGAL DESCRIPTION Service Included:
'" (16B DESCR~ION
\l a.JI\.. J
Permits are nAn-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
"
Constr Contr. Number
;~t
Expiration Date
.
Signature of Supervising Electrician
CitySD~~Q Q_ Phone .
OVNER INSTALLATION
The installatioh is beirig made on
property I own which is not intended
for sale, lease or rent.
:z Signa$ . Il
C-_~"---~~~-T--~/4.~-lj~-,==
DATE: I"""'}.... '/ ''1~ _
RECEIPT r: ---". j) ~ '\ 'Af"f)
RECEIVED B~.i -zy-/ .)0 ~ /,' ,
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
1D
200 amps
201 amps
Over 401
Over 600
L
$ 40.00
$ 55.00
$ 80,00
see "B"
above
or less
to 400 amps
to 600 amps
amps or 1000
volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
OneCirc:uit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ .2,00 .
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res'
Limited,Energy/Comm
40.00
40,00
20.00
not included)
5.
$
$
$
$ 36.00
AN r;XJ
;;-, . Zf j-
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '