HomeMy WebLinkAboutPermit Electrical 1996-8-1
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11/18/94 1&:48
'0&03 126 3689
SPI1> [lEV. SER.
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, 'l.foIlOWlng projocr as oubmltteci has the fOIlOWln.
'1lQ. and does not require specific land use
~ provaJ.
Zoning ~
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~002
'225 ~~~'D STRRST
Sl'llINGFlEUJ, OREGON 97477
:mSPECrION REQuEsT: 726-3769
OFFICE: 726-3759
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l:LECTRICAL PERHIT APPLICATION
City Job'N1.\llIber q&; r nLf f
1. J,OCATI9N OF INSTA,l,LATIOH
Ih..,;;'!> UAltJt:;NIftICtl/ttC
1/~~~~~~Nrm
. JOB DES~P'l'IOH . , Ii. ' ,
I#~Jt!I- ~[), /;)tJV (!/lft!tt/T 7J UI/J/L
JP. Co 'II? (ifJ7 /17t1tVliJ< . I
h 13:1 Permits are non-transftlrable and expire
if work is not started'within 180 days
of issuance or if. work is suspe~ed for
180 days.
,.
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3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single Ot .
Multi-Family per dwelling unit.
Service Includadt '
Items Cost
1000 sq.ft. or less-
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd'Home or
Modular Dvellini
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders'
L R ~'A /. L. Inste.llation, 'Alterations
Electrical Contractor ' . vtf/ff/lrJ/I-/11 ,.JA/C-pr Relocation:
Address &f td, "(;) "9K. . ' 200 amps or less
. II 201 amps to 400 amps
Citfo<,<)/Jl1iJ. Phone 7t/1-w3J 401 amps to 600 amps.
. I 0 601 amps to 1000 amps
Supervisor License Number 1~7~~ Over 1000 amps/volts
. /'() II. //)/ Reconnect Only -
Expiration Date 1< / 11'7~
,
Cons t r Con tr. Number (Yl hqCj
Expiration Pate /;;2 la/Ill.,
, ;
si~~Jre of Supervising Electrician
57",. "'l~ / ~~
owners"me lYlelfl/1II CJ/S~A!
Addres$ /6c:10 {I AJj)aJ ;fpe:::- .
City s,/Jjtd. ,Phone 1'-17,11/0
OIINER INSTALLATION
.
~
The installation is being made on
property I own vhich 1$ not intended
(or sale, lease or tent.
.
Owners Signature I
~A~;;---~:i:-q:<:;---------~--------~-
A<.';r;1f'1' w: ~7n-r;>
RECEIVED BlI ii.,
Sum
$ 85.00
$ 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
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100v VO.Lts see "B" &Ioove
D. aranch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Addi t10nd
Circuit or with Service
or Feeder Permit
/
$ 35.00 :&,O{)
$ 2.00 .
E. Hiscellaneous (Service/feeder not included)
-Each installation .
Pump or irriiation $ 40.00
Siin/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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S. SUBTOTAL OF ABOVE
5% St<e Surcharge
3% Administrative Fee
TOTAL