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HomeMy WebLinkAboutPermit Electrical 1993-2-1 SIOIIIN(;t:IIlLU' '.! . ,eva!. 97', 77 ZOning-L..-J) 9- 726-37,6?te ~.... ( _ 9) "uthorized SlgnalureS~'3. 1. LOCATION OP INSTAL~~ION . ~q Cf" ptl\J ~. A. LEGAL DESCRIPTION /~~~7'Y_ 0$ ~ 'Y , 225 FIfT!I ~TRlmT srIUNGFIELU, OIlEGON INSPP.CTION REQUP.ST: OFFICE: 726-3759 I ; ; I , Jon DESCRIPTION IL~ i\ L ~.ho nt ~ 111m P J Permits are non-transfernb1e and eKplre If work is not stnrted within 100 days of issuance or if work is suspended for 100 days. " ,i'" 2. CON1~CTOR INSTALLATION ONLY D. Electrical Contractot:~,\' ~~Qli1-;11~ ~~, Address p, 0, ~, /4 g1-,., I Ci tY4~1 'i1I~oU , I'hone!14.I-f).:?.30 Superyisot: License Number I ~ g{,., S Expiration Date 10 -1-q5 Constr Contr. Number ().124Q City Job Number 92 /? /2.. COHPLETE PEE SCnEDULE DELOV * New Residential-Single or Hulti-Family per dwelling unit~ Service Included: Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd !Iorne or Hodular Dwelling Service or Feeder 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 $ 05.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 , :! C. Temporary Services or Feeders~ Installation, Alteration or RelOcation Expiration Date q -1-Q.3 ~~ . \,; ~ " ,.., ", '.:; :I ..r! :~ 1 ':~i \,i ii" ~U " l~ 0 i'~ ~:- ~I (;. ,)' " [~ ~ fl ~ ! , U:;?P;p~s7~:::;ian . own~rs Nameja ~ Address~t.j.,q . ~I\J M. CitY~f'>>fJH ,_Phone'141o- OU>I OVNEII IN2TALLATION The installation. is being made on property I own which is not intended for sale, lease or t:ent. Owners Signature: --------------------------------------- DATE:. !", RECEIPT ft: HECEIVED ny: /-'2?-~3 /7J/ ,.,. 0{~.--._---- 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or EKtension Per Panel One Ci,rcui t Each Addi tional Cit:cuit or with Service or Feeder Permit $ 35.00 .1,'1,00 $ 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/Comm $' 36.00 5. SUBTOTAL OP,ADOVE 5% State Surcharge TOTAL .qfl,OQ 1.'15 .~h, ti5