HomeMy WebLinkAboutPermit Electrical 1997-8-19
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ZED UNDEn n ooproval. ' .~"'-!" Md u<~
II.UiHORI D IS 1I.611.NDONED FOR ()I 0
COMMENCED On Zoning '1" ,
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~RINGFIELD, OREGON 97477 AUlhOr!4edSignOlure n (\Ij
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION 1163 J7L/(DOID I
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JOB DESCRIPTION
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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 ,B.
Elee trical Contrac tor _lIbso/ul-e L'7U,~
II n.. '"
Address 3 8'Y] W - 7-').)... ,
Ci ty EVCdn-<
Phone 1</'1-/6'6).
The installation is being made on
property I own which is not intended
for sale, lease or rent.
O1mers~Signature:
-
DATE~---l5~/-17'~;---~----------------
RECEr'PT 11:' I ()")-7 ,I )
RECEIVED BY: -1"7l/)),~
ELECTRICAL PERMIT APPLICATION
r; tv Job Number q 7/ 23 L{
3. COMPLETE FEE SCHEDIILE BELO\!
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular, Dwelling
Service or Feeder $ 40.00
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
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
or Extension Per Panel
.'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ~
I
$ 35.00 15. "'"
Supervisor License Number {jD77 S_
/ c..cN8C-;.o3./
Expiration Date /0 17 \
C.
Cons t r Con t r. Number / D 'i!9'1t..
Expiration Date JO /17
'~:J~2 "'."do',- ~
",. Ll D. Branch Circui ts
Owners Name lLJ /VIJ r fJUr\ tw--- n M,t'"{V-
<J '" ~. . A" \ fJ If New, Alteration
Address .:>( In r () I r if I .{ (,V
Ci ty ~,/ rj D/J1: M dPhone (p<{ 2 - '-I () '1 ()
~LATION
$ 2.00
g-.02
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
5. SUBTOTAL OF ABOVE '13. t)"t>
5% State Surcharge ' -I. /,)
3% Administrative Fee J -). J,.
TOTAL lJ./ f) . '-I 1/ OU
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