HomeMy WebLinkAboutPermit Electrical 1993-2-10
'Tho lollo'..~g project as submittedhao the following 1JA.l~.
;,Zr. r '( tn':l does not reqUire specific land use ':,,!'
appIOV&i. (\ ELECTRICAL rmtHIT APPLICATION
97/, n Zoning_ Q\~~_I (" q? 1\\ 'f'-.. \
7'J.6-J'/69 n _I ~V~t$ - Ci ty Job' Numbcr ~A .J\l...J
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Authorized Signature 1. rI1HPLl(TII P-BB- SCnEDULE llELOI/
01' INSTALLATION
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225 I'IFTIl ~TRlmT
SI'IUIlGFIELIJ, OIll':GON
INSPI!CTION REQUI(~T:
OFI'ICE: 77.6-:1759
1.
LOCATION
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JOll DESCRIPTION
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Permits are non-transfernb~e nnd eKplre
if york is not stnrted viihln 100 days
of i ssunnce. or 1 f yorK is suspended for
100 days. / 13
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2. CON11tACTOR INSTALI.ATION ONLY-
"ledrical contractor~\ll'.s ('~;f.
Adcl1:ess '{, 1 0 LV. II e
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Ci ty ----1d.c. _ Phone 1'1 '3 13 S: 3
Supervisol' Lcense Number q ~ 0 5
Ey.pir~t ion Dntc; .~ 1- 1" Y'
Cons t r Con t l'. Numbe r ::1 D FJ t./ C
Ey.pirntion Datc / 0 -/ - 9 c.j
~~'. r u~~sinr, Rlectrician
G ' _! /, K
. ovn~ame ~~~^ ~
Add~ess~\~\ -~d1-~
Citys9a~~ rA. 'rhon~141--oQJS
~~E\ ~S'l'ALLATION
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Thc installation is being made on
property I ovn vhich is not intcnded
for sale, lense or rent.
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Ovncrs SiltTlatllre:
~~~;~-----~~j~I~-~--------------------
RECEII'l' A: I '-IS '7
HECETVEIl IlY: .P.~ '
A. /Nev Residential-Single or
Hulti-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanu f' d lIome or
Hodular Dvelling
Service or Feeder
ll.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
uni t.
Cost
Sum
$ B5.00
$ 15.00
$ 1,0.00
,~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
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Temporary Services or Feeders ~,.,
Installation, Alteration or Rel6cat~on ' .
200 amps
201 amps
Over 1,01
Over 600
or less
to 1,00 amps
to 600 amps
amps or 1000
nranch Circuits
volts
$
$
$
see linn
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, ;\~
, ~l
.
40.00
55.00
BO.OO
,
above
..~
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Nev, Alteration or Extension Per Panel
One CI.rcui t
Each Additionnl
Circuit or vith Service
or Feeder Permit
$ J5.00
S 2.00
not included)
Hiscellaneous (Service/feeder
-Each installation.
Pump or irrigation
Sign/Outline Lighting .-;I .
Limited Energy/Res
Limited. Energy/Com~
E.
5. SunTOTAL OF AllOY!
, 5% State Surcharr,e
,
'\ TOTAl.
'.
s
s
S
$ J6.00
f:O . cO
- '"t .U(;)
M4 (L)
40.00
40.00
20.00
4( )
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