HomeMy WebLinkAboutPermit Electrical 1992-12-3
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ap~~~I/~i?o~~ ELECTRICAL PERMIT.APPLICATION
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726-3769./.-", -<0/);",& tJ. ''''te/!1eedhaoCi ty Job Number vv-kll'f'1.JT
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""""'~ed ,~~ "g...........COHPLETE".J'iEft111:!CnEDuLE DELOII
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225 I'IFTII STREI,T
SI'IUNGFIELll, OIlEGON
INSPI~CTION REQUI~ST:
OFFICE: 726-3759
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~OD DESCRIPTION
~I,C/~c ~ $ L/~~/745-.
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Permits are non-transferable and expire
if york is not started within 100 days
of issuance or if vork is suspended for
100 days.
Expiration Date
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Expiration Date
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Sig?yre of Supervising Electrician
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. o~ners Name\\\'\--~. ~~n
Address \~ ~h()O ~ .\.."mO~ t
City ,~~ Phone
OIlNF} UTALLATION
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The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
, Owners Signature:
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DATE: 1" I i/~../-"'ZJ'
RECEIPT ~: ~~~
HECnVEIJ ny: .....~._.....u....------
Nev Residential-Single or
Hulti-Family per dvelling
vice Included:
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dvelling
Service or Feeder
Items
un it.
Cost
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
c...--- $ 50.00
$ 60,00
$100.00
$130,00
$300.00
$ 40.00
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2. CONTRACTOR INSTALI..ATION ONLY D.
Electrical COlltractor_0?\ ~ Tl OMllL~
Addl:e~i)(l~J ~~
Ci ty ~~ Phone '\41- Q2;?:1.p
Supervisor License Number \\J2~lt?~.,
\D.\ .C\5
Constr Contr. Number OQ?f\C\
C\.\.q~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 100~ amps/volts
Reconnect Only
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 volts
$ 40,00
$ 55,00
$ 80.00
see "D"
above
D.
Branch ci rcuits
New, Alteration or Extension Per Panel
One C;.rcui t $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t S $. 2, 00 /~
not included)
E. Miscellaneous (Service/feeder.
-Each installation
P\lmp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm -
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5. ; SUBTOTAL OF ADOVE
j.5% S'tate Surcharge
, i 'TOTAl.
$ 40,00
$ 40.00
$20.00
$36.00
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