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HomeMy WebLinkAboutPermit Electrical 1993-10-26 ;~.-, ' ." . :.- . tI~ The, following project es submitted has fhe follow! " zomng, "cd does not require spoeffic lacd UM ~ECTRICAL PERHIT APPLICATION 91Wf"fIUI, 726-3z'-'9no LDI2 Dsto '''bt..lc,:>, 225 1'11"1'11 $TRlmT SI'IUIlGFIELlJ, OREGON INSI'I!CTION REQUI!ST: OFFICE: 726-3759 3. IClP-- - . A. , 1. ,fJL9fATPjN.9 INSTA~t)N>ign~tur. N ~'(6 t '){'flJr..-' Un ()f . LEGAL DESCRIP1'ION ~O~DESCRI~ION ____ 0:\-, \Jof'l'\/JJ O.(\J('\Q.~ L ~,p- Pcrmit5 arc non-transferable and eKpire if vork is not started within 100 days of issuance or if work is suspended for 100 daY5, ,; , 2. CONTRACTOR INSTALl.A1'ION ONl.Y B. Elec trical Con t rac tor_.5i n& F. 1ed-r ic..- Addl:ess ~) 10 I ~Jes1- \ rt\t) City~(J, Phone 3.13\RS~ Supervisor License Number ? n7l!::l c 10-) - 95 Expi ra t ion Da te Con5tr Contr. Number 2..a) ; ~', '.1 , :.i ij :, :i :J ., 'i ;1 H ~ i q il ~i ~ ::! ii m 'I \1 , , I OIlIlF.R INSTAl.LATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Owners Signature: ! ~~~~~--~-~-------~-;r(:)~d2~:~--~- Rr:~F;II>'l: D: --Ld~, /\~( PlG HLCUVI,() nY: C:?'}UJ n. ..__ .._. _.... __ ......_..._________.___ City Job Number COHPLETE FEE scnEDULE BELOII New Residential-Single or Hulti-Family per dwelling Service Included: 1000 sq.ft. or less Each additional 500 sq, f~ or portion thereof Each Manuf'd lIome or Modular Dwelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to.lOOO amps Over 1000' amps/volts Reconnect Only q3/~C;Lo , unit. Items Cost Sum J $ B5.00 Bs' $ 15.00 JD ~ $ 40,00 $ 50,00 $ 60.00 $100,00 $130.00 $300,00 $ 40,00 C. Temporary Services or Feeders Installation, Alteration or Relocation 40.00 55,00 BO.OO 4() Expiration Date CJ -1- qLj 200 amps or less 1 $ ~ 201 amps to 400 amps $ ~ture o~Supt)rvi i Electrician Over 401 to 600 amps $ . I kA. / ~ ~over 600 amps or 1000 vol ts see "B" above , . -A' - r::---r: D. Branch Circui ts Ovners Na~ )'\\ 0 d/t \. j)(\ A- r1.An.,....() 0.r.. lr~ Nell, Alteration or EKtension Per Panel Address~~\ ~\ \~'A 1 (\ U ~ One Circuit $ 35.00 C{tyY, ~l ~~ X Phone '\:lh'01:: Each Additional Circuit or with Service or Feeder Permit $ 2.00 not included) Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ $ $ $ 1~5~ , I, r)<:;;, / { "tJ .:7.'5 40,00 40.00 20,00 36.00