HomeMy WebLinkAboutPermit Electrical 1991-7-2
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ELECTRICAL pEllHI'f APPLICATION
City Job Number q I () lo?:: {Q ,
3. . COMPLETE fEE SCIIEO~ BELOll
225 FIFTH STREET
SPRL"~r~bLD, OREGON 97477
,INSPECTION REQUEST: " 726-3769
'OFFICE: 726-3759'
1, ,LOCATION OF ;INSTALLATION
fa 70, L.oLt.rt'/V~ At//_
LEGAL DESCRIFTION .
-r"'-J4 L..rr - ' h '500
A. New Residential-Single. or
Multi-Family per dwelling unit.
Service Includedl
1500 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. ;l..,. $ 35.00 '70
, Items
JOB DESCRIPTION '
/tV; h " /', tl7)r.(~ ~ / ",/-v,1:./
Permits are non_transferable and expire
if work is not started within 180 days
of'issuance or ~f work is suspended 'for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~+lll.f'-e Flf'dt"'G
o
B. 'Services or Feeders (10 Branch Circui.ts
included). Installation, Alterations
or Relocation: '
,C. Temporary Services or Feeders
Installation, .Alteration or R~l~cation
200 amps'or less $ 35,00'
201 amps to 400' amps $ 40.00
Over 401 to 600 amps $ 80'.00
Over 600 amps 'or , 1000 volts see."Bn above
D. Branch Circuits
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts ,
Reconnect Only'
Address ?J 7;;;, uJ.,i IJ/)Y
Ci ty Ev. a. -e,ve.
Phone, ::?'-I'f-/50D
Supervisor License Number ~o-::;. J/'D d.-
Expiratio'n Date If) - "3/-C;a-
Constr Contr. Number ;9..6- ;) '60 c
, Expiration Date 10-"3 j:" 9,3-
Signature of Supervising Electrician
'"
$ 35.00
$ 60.00
$ 80;00
$130;00
$300.00
$ 35.00
New; Alteration or Extension Per Panel
, n //YJ One Circui t "
~ LL...-' 'Two to ten c1rcui ts
(_(J;O/~l~/ ' Each Mdt'l ten or'
l[)~~ ~, portion thereof '
, '.
The installati is being made on E. Miscellaneous (Service/feeder not included)
property I own which is not intended -Each installation
.. for sale, lease or rent. Pump or 'irrigation
'Sign/Outline Lightin~
,Signal :Circui t or'. , ,
limited 'energy panel
Address
City
Owners Signature:
SUBTOTAL 01' ABOVE
5% State Surcharge .
TOTAL
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, 5;
DATE: ~.
RECEIPT t:
RECEIVED BY"!
7-'
1
~~
$ 35.00
$ 50.0~
$ 15.00
$ 36.,00
$ 36.00
$ 36.00 .
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