HomeMy WebLinkAboutPermit Electrical 1992-11-16
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1. LOCATION 011 INSTALLATION , ;,:', " '. --, ---.-/~
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STA"TE" FA-i'~.Y'I\. 41\l5/A12 A/\JC E --.. -)'~!i;.:A,.,,~ew Residential-Single or
~~ W~7' ~~/ ~h"~ ''''"''"Rtrh~.1y per dwelling uni t.
LEGAL DESCRIPTION Servi~e I~~
~~ 'AJ CeN/'l:'tV.vdH .s.pFfJ txZ- Q71.j 77 Items
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Jon DESCRIPTION
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22S FIFl'1I STREET
SPIUNGFIELD, OREGON
INSPECTI ON REQUI~ST:
OFFICE: 77.6-3759
97/.77
726-3769
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manu f' d Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
, $ 40. 00
2. CON1~CTOR INSTALI~TION ONLY D. Services or Feeders
Installation, Alterations or
Electrical Contractor LAtJT2- ELCcr(2lc.::J:/VL Relocation:
AddJ:l~ss ~~,,'Z~ ee.Dr:)~ H-\LLs"
Ci ty 'PLE!tsA-tJT HILL Phone 7z..b~o6s1
Supervisor License Number 3'-\ '1'- S
Expi ra t ion Da te I'D / I{ q'~
Constr Contr. Number
&" 't fa 7 or
Expiration Date
7~1'-l - erS
Signature of Supervising Electrician
,i~ cf- cf~_
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Owners Name F f2.At0ClS TC.-t=lh,.,r Y
Address
CitYL~ CALIFPhone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
[or sale, lease or rent.
O....ncrs Signature:
---------------------------------------
DATE: : 1/-/~~'2-
RECEI Pl' #: ~ ?..:>&::
HECETVr:D BY: /'2__~~,
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200 amps or less I $ 50.00 ,L.)O,~
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "n" above
D.
Dranch Circuits
New, Alteration or Extension Per Panel
One Circuit
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/Com~ $ 36.00
5.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
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