HomeMy WebLinkAboutPermit Electrical 1992-11-9
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225 FIFTH STREET. ' ELECTRICAL p' IT APPLICATION
NGFIELD OREGON.9 7477 .Th~ foJ/owin r'. . ,
SPRI ,.. :torl/og aridg p oJect as subm' ~-::z.~
INSPECTION REQUEST: 726-3769apPrO;/~I:' does not require ;tt:d, ~@--itWfdAAn Number '92 I ~ ~';;7
OFFICE: 726-3759 " ' . , P clf1c land use 9 ,
, , Zon;~g~TE ,FEE. SCHEDULE BELOY
10 LOCATION OF INSTAL~TION~l:it~.J.f-.=.$. , '
to 19 C -t> I\f-t-P. ANV 141 ,Aljtin.I__, _ A. . New Residential-Single or
-,-~ ""gnatLKs_C;) Multi-Family per dwelling uni t.
LEGAL DESCRIPTION '~4' ---serv+e'e-Included':
Res fA p,JC-e. \try?-,A. ... /) , Items Cost
- - . d...Ov
JOB DESCRIPTION. . \ '3 '1000 sq. ft. or less $ 85.00
~p v- LJI C. e b jfJ (';'V'IVIl.p t{... AJt~ G/ f.? Il.Q,a;terS Eac.h addi tional 500
. 'I I' . , sq. ft or port ion
~ermits' are non-transferable and expire thereof
if work is not started within 180 days .Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
.. 180 days. ,Seryi ce or Fee.der
20 CONTRACTOR INSTALLATION ONLY B. ' Services or Feeders
, '.' Installation, Alterations
Electrical Contractor ('J \-e 1 ON f lec.J S:erUICe.Relocation: '
Address 1-..:1 ) i.J l.d / i:f.. PI 200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps tb 1000 amps
Over 1000 amps/volts
Reconnect Only
.,:,
.... ~$"'~ ~
Ci ty E t' )-Cj r.> A.I P
j ,
Supervisor License Number
3 4;3~J feR 1.
Phone
t,'3 cr J. -8
Expiration Date .,/0.... 1,- crs'
Constr Contro Number 3 ~ 00 (
Expiration Date
q _ I L/ ..q I~
Signature of Supervising Electdcian
.7~ A ~/w;t,,~J (!)~e:~/, ,,:' .
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Owners ,NameD. 2. i Ie ,h ~,~.;.J..;~:tb, Pro p. WlG-r
Address ' <C I q LtJ (.p..'\J -I-~ AJ,A.) i 'a.-/
Ci ty g) f-> r-:: cl
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Phone 7).. ~ - 'J LI (J 0
OYNERINSTALLATION
The installatii:ln is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT t:
RECEIVED BY:
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Sum
$ 15.00
, __ $ 40.00.,-
'or
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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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
Branch Circuits
$ 40.00
$ 55.00
. $ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
5 . SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
One Circuit $ 35.00
Each Additional
Circuit or w~thService
or Feeder Permi t ,3 $ 2..00 10.00
.~.'/> ': .\.
E. Miscellaneous {Service/feeder noi~1ncluded)
-Each installation '
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20:0~
Limited Energy/Co~m $ 36.00
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