HomeMy WebLinkAboutPermit Electrical 1996-10-31
10/23/9G
12:57
'O'50;~ i~() 3689
SPbTi DEV. SER.
l4J 002
225 FIFTH STREET
SP.lUNGFIEL.D 1 OREGON
INSPECf.'ION REQUEST:
OFFICE: 726-.3759
97477
726.-3769
3.
1.z,~ LOCAII~N OF I~STALLA~Z~I\
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LEG1L DESCFIPTION
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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 d;.ws.
Expira t i on Da te
Expira t:i on Date
Signature of Supervising Electrician
'~L/L- #
O';T~er;'-f:.li~Ill~- / 4C ~_-~cJ
Address I&(JJ)-~qj--~
Ci ':.y k1di- Phone
~~ll INSTA1J:,ATION
The installation is being made on
property I own which is not intended
tor sale, lease or rent.
Ovners SiJ11ature:
D;;TE;=ID]J]l[al;-==;---:~~-_..._.._-
REClnPT #: ____~- _ _ __~~J_~25 -'-'--
!H~r.F.TVED BY: . .--'.--
". - - - _. - - .~ - - - - - ._ - - - _. _. - _.. ._ - ._ - - _. - d' _ _ _ _ _ _ . _ . - - - - - - -. - - - -
EU~Cl'RICAL PBlUUT APPLICATION
Ci ty ,Job NtHllber__4 (PI ~K1_____--
COHPLETE FEE SCHEDULE BELlm
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
I t e 01.S
1000 sq~ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Ser~ice or Feeder
200 amps or less
201 amps to 400 amps -..-..-
LlOl amps to 600 amps ___n_
601 amps to 1000 amps
Over 1000 amps/volts
Rec.onnect Only
Cost
SUIli
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
.. ')" A f Ail "Installation, Alterations
Electdcal ContT!2ctbi'1f.lJ:~}t_LJJI1M lltVilffnPN or 1Zeloc.nion:
Address.llL15 Sit) iJ/iR.6()(( 8U1IJ :1TlUg
Ci ty{}d. e:rUHIl ll_~j Phone _2,..33 - f(J32
. ~~,~ ~~7
Supervisor License Number '~~_~__~f---
iL,:-L11
Constr Contr. Number ,1 =-,,3~.L. tLE
)12~L17
$ 85,00
S 15.00
S fIO.OO
$ 50.00
S 60.00
$100.00
$130.00
$300.00
S 40,00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' '0'1' less
201 amps to /~OO amps _.___'_
Over 401 to 600 amps
Over 600 amps or 1000 voffs
D.
Branch CIrcuit::;
$ 40.00
$ 55.00
$ 80.00
see CiBH
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Lilili ted Energy/Res ==~= $
Limi ted Ene rgy/Comm V" $
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative'Fee
TOTAL
$ 35.00
:)
2.00
not included)
$ 4-0GOO
$ 1,0. 00
20.00
36.00
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SCCC-616-3
PRINTED IN U.S.A.
AMOUNT
CENTURY DIGITAL SYSTEMS