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HomeMy WebLinkAboutPermit Electrical 1991-7-2 .--- I _......~_. . 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 ---- , 5; DATE: ~. RECEIPT t: RECEIVED BY"! 7-' 1 ~~ $ 35.00 $ 50.0~ $ 15.00 $ 36.,00 $ 36.00 $ 36.00 . I ()~CO .. . \. , -LL;1:X ~