HomeMy WebLinkAboutPermit Electrical 1992-3-5
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225 FIFTH.STREET ~rh ELECTRICAL PERMIT APPLICATION
SP 97477 e fOllowIng ,
RINGFIELD, OREGON zoning an P'OJect &msubmltt d
INSPECTION REQUEST: 726-J%IJ>v~/, d doe. not 'l'<Iu/r. .":"I,~ar.:.~~i.l~I~b Number-2.?-,:, '-:::i://?
OFFICE: 726-3759 Z ~1 ae ~
OOln 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLA~ ,~. . e;.
/.:;.c;7 -S~ ~ ~001z,-"-__.~ IT4. New Residential-Single or
~ ~ Multi-Family per dwelling unit.
LEGAL DESCRIPTION Serv1~I"~luded:
/-:?-:zt'"':?-"'3t.:;;-~7. 676'ct::::> Items Cost
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JOB DESCRIPTION
j?F -fA:/f,;q'~ 7~ / -;z::tc;y
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
Electrical Contractor~~~~
Address~:70 Idr--,/ / ~A--~
~
CitY~~E Phone.h~7-:Z/2/
~ j Y? S
Supervisor License Number ~1 ~-~~
Expiration Date /~-/~~
Constr Contr. Number L/Q-=?7,->"
Expiration Date 1~-/~-9:2
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Signature of Supervising Electrician
r?~ O~~v~
D.
Owners Name,.....-~/.?..?6,.-/" ~..?f/""..---.--S<==~
Address ~ ~~~ ~
City c~.'":;,C Phone, ~-,&':!o<'!'i:;
OVNER INSTALLATION
1000 sq. f to or less ?J
Each additional 500
sq. ft or portion
thereof
Each M~nuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Sum
$ 85.00 2.e:;-~
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circui ts
$ 40.00
$ 55.00
$ 80,00
see "B" above
New, Alteration or Extension Per Panel.
One Ci-rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 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
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ::s'_~-"/-'"2.
RECEIPT II: '~;;s'~~ -
RECEIVED. DY:~ -:':'""~"":?~T-9
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