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HomeMy WebLinkAboutPermit Electrical 1993-4-2 ; ~.. -'~.., 225 FIITII STRmn ,s>>-o.;r. '~,~c:Y' 'ELECTRICAL PERHJ;T APPLICATION ~"" ,\<~ , q 61 SPIUNGFIELD, OIlEGON 97/,77 o,eo '00." ' /J ,...../} / INSPECTION REQUEST: 726-3761\o,,;,"?i~~ ,.0" '/ CZty Jo Number ...;)( }LJ.., ' OFFICE: 726-3759 ~0\~\\.""" , 'l-O~~IO~"\ ~Il>i,l '1] ~ CO~T PEE SCnEDULE BELOV 1. L<)CATI9JiJ 01 ~TALLATI.Q.~< k~ ~....-~~.. n_ ( ~ 1)'7") I ~LJI ~ '-=::Y-)' V\. 7 ',,\>>loA. Ne... Residential-Single or U '0,,'0""- 00S'...' Multi-Family per d...elling unit. r~AO 1~:tO?/2~lN () :13r15 Service Included: Items -S~D~~Q//~ r!)fd0cr Permits are non-transferable and expire If ...ork is not started ...ithln 180 days of Issuance or if ...ork is suspended for 180 days. , 2. CONTRACTOR INSTALI~~ION ONLY Electrical contractor()\l~~ Add\er ~b ~ 1\ - Cit~~t0~G ' ;hone\?1-0S1) Supervisor License Number :J3f-J1S \\) , \ . qs - ,/)~ \() \ \f). S,c{3 Expiration Date Constr Contr. Number Expiration Date Signature of Supervising Electrician ~ "^^^ ~ \AAA;1I\.' .~ ' O...ners ~ame ~~ ?>l t..l ' , Address ~ Y;\ "\ r'\ (\ \\ ' \ Ci ty ~' , Phone 41<~1 st~ OVNER -I~STALLATION The installation is being made on property I o...n ...hich is not intended for sale, lease or rent. , i, Ovners Signature: .~..-- ' SI.I'I".~t=II:L.U - ~.....- ., Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manu f' d Home or Modular D...ellirig Service or Feeder I 4- gs [p() $ 85.00 $ 15.00 $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 1,01 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 Ins~allation, 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 "B" above D. Branch Circuits Ne..., Alteration or Extension Per Panel (Jne CI,rcui t Each Addi t ional Circuit o~ vith Service or Feeder Permi t $ 35.00 $ 2.00 , E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Ou tline Ligh t ing $ 1,0.00 Limited Energy/Res $ 20.00 Limited Energy/Comm' $ 36.00 ,5. SUBTOTAL OF ABOVE J10 ,CLJ. 5% State Surcharge FJ !L ") TOTAl. I S.:.J ?:1.---~ "',