HomeMy WebLinkAboutPermit Electrical 1993-7-12
225 FIFTH STRlmT
Sl'IUNGFIELD, OHEGON
INSPECTION REQUI~ST:
OFFICE: 72'6-3759 '
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97~77 in~
726-3769 ZOl1ina _ VV,
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City Job Number
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Authorized Signature
1. LOCATION Of\I~~TALLATION .
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3~MrLETE PEE scnEDULE DELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 day!;.
2. CONTRACTOR INSTALLATION ONLY D.
Electrical contractor~B //5 !3kc/r./c
^ddn~ss 3/'0 it )e<:;r I/--ttv
Ci ty OJ gel1-'~ Phone3l.:B 135.3
Supervisor. License Number 20J'tj C.
Expiration Date /cJ-I - 93
Cons t r Con t r. Numbe r .-:J 1'1.5 J
Expiration Date c.j-/- 9~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder '
.I
j),
Items
Cost
Sum
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
$ 85.00
PD'
$ 15.000()
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less . 1 $ 40.00 40
201 amps to /.00 amps $ 55.00
Over 401 to 600 amps $ BO.OO
Over 600 amps or 1000 volts see "D" above
D. Dranch Circuits
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OYNER INSTALLATION
The installation i~ being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------.
DATE: ' 1';! i . '
RECEI PT #:
1U~CEIVr:[) BY:
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New, Alteration or Extension Per Panel
l1iscellaneo\.ls (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Com~
One Cil"c\.ti t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
, '
SUBTOTAL OF ADOVE
5%S~ate Surcharge'
, TOTAL
$ 35.00
$ 2.00
,not included)
$ 40.00
$ 40.00
$ 20.00
$36.00
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