HomeMy WebLinkAboutPermit Electrical 1993-10-6
The IOI/OW/n I/A:'",
:OIJing, and ~~;~Ject as subrn/tt ~..w
225 l'IFTII ~;TRlmT pprove/, not require SP::iI~"" the IOl/ollf~CTRICAL PERHIT APPLICATION
SI'IUNGFIELll, OHEGON 97177 Z ' land Use r'10 c:" "l
INSPgCTION REQUEST: ~f&-3769'~~ City Joh Numhcr ...::\ '- )\n' I 0
OFFICE: 726-3759 ~q3 *
AlJ/horizC>d Signatu, '(\ 3. COHPLETE PEE SCIIEDULE DELOII
1. rl-9Hl!:IONrO\10INSTALLAl~N " re--..f::Q.PJ
nLJ'z"'l\ ~(')(\ ~ \.))\ ),,,\.In / 1\. lie" Jl~idential-Single or
\ '.1<1.".ily p" ,..11 lH, .Hil. . '.
LEGAL DESCRI~rION Service Included:
.fOlJ. ~CRIP.T!ON -\
;5. \--- N~MAOfl~ j,\-- \..~~<?
Pcrmits arc non-transferahlc and cxpire
if work is not started within 100 days
of issuance or if work is suspcnded for
100 days. :
2. CON1'RIICTOR INSTALLATION ONLY D.
Elcctrical Contractor .[2)i I\s E)eQtriC-
Address ~\{O tUe~t ,\ th
City'f)Jqe..oe I'hone343 053
Supervisor Liccnse Numbcr 208 L/ C.
Expiration Datc 10 - } - 9'3
Cons t r Con t r. Number .1 L ':{C) }
Expiration Datc C/-I-qLj
Items Cost, Sum
1000 sq.ft. or less 1 $ 85,00 is.
tach additional 500
sq. ft or portion ~ ..3D.
thereof $ 15,00
Each Hanui'd lIome or
Hodular Dwelling
Service or Feeder $ 1,0,00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50,00
201 amps to 1,00 amps $ 60.00
401 amps to 600 amps $100,00
601 amps to 1000 amps $130,00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less \ $ 1,0.00 4()
201 amps to 1,00 amps $ 55,00
Over 1,01 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "D" above
D. Dranch Circuits
, Signature of Superjiyng Electrician
i<~~}_/)^/ ~
Owncrs Nam~ C)\O~~_~
AddrcssAASq \. ~)\.r.l' ........CL~
City~J~~\G . p'honejf~~~
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OIlNFJl INSTALLATION
The installation is being made on
propcrty I own which is not intended
for salc. lease or rent.
Owners Signature:
"]''\ '
~~;;~--~-7f J~-~-~~<:?-~--~----------
RECEIl'T #: C/i .-3ru r?M't
HECI,:TVElJ B~" /V') I)
..~}~_._..._......_.._-+_...-
New, Alteration or Extension Per Panel
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limi ted Energy/Comm'
5.
SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
S 35.00
S 2,00
not included)
$ 1,0,00
$ 40,00
$ 20,00
$ 36,00
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