HomeMy WebLinkAboutPermit Electrical 1993-8-24
. -.ubmitted has the following f/AJ'tI
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q8/a 15
225 FIFTII STREET zoni:-,
SPIUNGFIELD, OHEGON 9-ptt'/7 '. LD(Z.-
INSPECl'ION REQUEST: 726-37;6~9,iiIY .
OFFICE: 726-3759 Da10_.~6.-:v.-\ --'iQ_ 3.
1. LO~;tI~(~F I~TA!:~l.IDGR: Signaturer-
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LEGAL DESCRIPTION
'-
~Jon DES~IIAIO~J PI 11 ) 1~::(11) if
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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 days.
2. CONTRACTOR INSTALLATION ONLY n,
Electrical Contractor Djlsc:JecfriG
Addt:ess~r7rJ (J.)p~ litl1
Ci ty UA, Oef7P Phone_.::3L/.3l~S. ~
I
Supervisor Li ccnse Number -.2l)??Lf (_
Expiration Date /0-1 -93
Constr Contr. Numbel- 2)<.5 j
Expiration Date 4 - I - 9 Lf
<:;<~; {6"PRs:n:;lectriC~an
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Address~4!}0~;R)Qj,' in ;.;1 )
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mINER INSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
O....ners Signature:
~~~~~--~-------~-----~~~~~~C1f~ 5.
~~~~~~J:D.I:IY: .~i~~Ol(Lf/pU,1~
COMPLIUE,. PEE SCnEDULE DELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less I
Each additional 500
sq, ft or portion 11
thereof C)(
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Cost
Sum
$ 85,00 8s
$ 15.00 Sf)
$ 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
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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
P~mp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Com~
SUBTOTAL OF AnoVE
5% State Surcharge
TOTAL
$
$
$
$
\ \5,cD
5.'15
.Jaf) . t) 5
40,00
40,00
20,00
36,00