HomeMy WebLinkAboutPermit Electrical 1992-11-23
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225 I'IFTlI ~TRlml' ~PllfOV~I, 1.1I~LECTRICAL PERHIT APPLICATION
Sl'IUNGFIELll, OIl1':GON 97't77 itolll"\I.. r7/1 Ic(q /
INSPP.CTION REQUI(ST: 726-3769 \1-.::J..3'::9. J.. City Job Number '1d Iv
OFFICE: 726-3759 00\0_' g~ _ -
~a\\)l\G\~.,...- -uMl'LETE PEE SCnEDULE DElaY
1. A-9~17.QN (01' JNSTAL!4l'ION C1/) .
C\Jk.,,"")( )r=J{JJLIIl.J..~ CYril'") A. Nev Residential-Single or
~ / ~ Hul ti-Family per dvelling uni t.
. J r6~~rfjlf5ION [tl4fY) Service Included:
lfY/ fr ~W~ ltrl J0
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l'ermits arc non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
100 days.
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2. CON1~CTOR INSTALLATION ONLY D.
Electrical Contractor~". ~ ~T<-<.
FSS LJ,2.~
Phone ?W ~(5CJlJ
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Cons tr Con tr. Number b ~J?, 7 IS fS
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Signature of Supervising Electrician
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Ollners Name r ~().tl QLV~. -) ~ /}1 CJI1S D.
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City~2d l'hone 1
o.YNlI U.~LLATION
Address
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City P ',"IZ~ .D
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Supervisor License
Number
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Expiration Date
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Expiration Date
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The installation is being made on E.
property I Olin vhich is not intended
for sale, lease or rent.
Ovncrs Signature:
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Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dvelling
Service or Feeder
$ .85.00
$ 15.00
c1
$ 40.00 M
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00
volts see "D" above
Dranch Circuits
Nell, Alteration or Extension Per Panel
One Ci.rcu it
Each Additional
Circuit or vith Service
or .Feeder Permi t
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy/Comm'
not included)
5.
SUBTOTAl. OF ADOVE
5% State Surcharge
TOTAl.
$ 40.00
$ 40.00
$ 20.00
$36.00
Pf0.CO
_ 't;. DO
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