HomeMy WebLinkAboutPermit Electrical 1994-1-3
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225 FIFTII ~;TRI-:I;T, 97~~,~~,o~al. \ 1\ ELECTRICAL PERMIT APPLICATION
SI'IUNGFIELIJ, OIlI-:GON f,' , }.J
INSPI!crION REQUI!ST: 726-37t'l5"n~ ( iZ,\. City Job Number 931805
OFPICE: 726-3759 Date' y 'J -vr,h~
Auth<lf~ed Slgnaturel~ 1 rnl!rbETE FEE SCnEDULE BELOII
1. LOCATION OF INSTALLATiUN
2362 Loch Drive
LEGAL DESCRIPTION
JOB DESCRIPTION
S.F. Residence 1853 Sq. ft.
Permits are non-transferable and expire
if ~ork is not started within 100 days
of issuance or if work is suspended for
100 days,
2. COlofl'RACTOn INSTALl.ATION ONI.Y B.
Electrical contractorfi/ j!5 ckt"fr/G
Address3J 70 b.)pc;f I/ffl
Ci tyCU 9 u1rL..
Supervisor License
Expiration
Phone =st/::J,)':f53
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Number 2L:JffL/ C.J
Date /0 --I - 9_ '3
Cons t r Con t ['. Numbe r 2)::i)c, r
Expiration Date q~J-qLJ
.! ~~n~~ :e)perw;::ctrician
Ollners Name He & i construct~
A,ldress 84959 Parkway
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D.
Ci ty Plpilsilnt Hill
Phone 726-3898
OYNER INSTALLATION
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The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
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RECEIPT fi: ~ \' O~;Cf
HECEIVED BY: ........ nb~o;;;,~__um...._..._.._...__
A.
Nell Residential-Single or
Multi-Family per dllelling
Service Included:
Items
1000 sq.ft, or less 1
Each additional 500
sq, ft or portion
thereof 2
Each Manuf'd 1I0me or
Modular Dllelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to qOO amps
q01 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
uni t.
*
Cost
Sum
$ 85,00 85.00
$ 15.00 30.00
$ qO,OO
$ 50,00
$ 60.00
$100,00
$130,00
$300.00
$ qO.OO
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over q01 to 600 amps
Ove~ 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80,00
see "B" above'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign IOu tline Ligh t inll
Limited Energy/Res
Limited Energy/Comm
'1 . I
, i.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5. '
$ 35.00
$ 2.00
not included)
$ 40,00
$ 40,00
$.20,00
S 36,00
$115.00
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