HomeMy WebLinkAboutPermit Electrical 1994-5-11
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225 FIFTII ~TRImT appro.ai. . . . ".:. '"",. 0 .... ..:.. .,."g,~~e'm!lCAL PERHIT APPLICATION
Sl'IUNGFIELlJ, OIlEGON 97/,77
INSPECTION REOUl~ST: 726-3769 Zonina e.<!.- City Job Number q. y&'sf/'Y
OFPICR: 726-3759 Date ~ '>-tl-'!1 .
A~h . . ~ COHPLETE PEE SCnEDULE DELOV
1. LOCATION 01' INSTALLATION onZed Signature one. .
t.{2;:: ~)1'f{61f4r ~n . . A. New Resloend"l-Single or
. . Hul ti-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
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~on DESCRIPTION
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Permit5 arc non-transferable and expire
if work is not started within 100 days
of issuance or if work is suspended for
100 daY5.
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2. CONTRACTOR INSTALI..ATION ONLY D.
Electrical Contractor ~-I ~ &if'v'?'.
Address~ /f/k
City~D l'hone~/~2...::-~
Supervisor License Number J.'~~;5
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Expiration Date /~/~~
Constr Contr. Number ~~~y/~
Expiration Date 9-/.9~
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Signature of Supervising Electrician
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Address t/-9~ j...~c.~At;J..?Jz:?
C i t y.2Pn-Do Phone 7?'?' ;:('/D~
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OIlNr-.R INSTALLATION
The installation is being made on
propeny I own which is not intended
for sale. lease or rent.
Owners Signature:
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DliTE: :.:. S'~//--? &/ .
RECEIPT D:-L~~~
'lU.TETVElJ ny:
.._.-.- -- .,-....- --- _.~--_..._----._.,--------
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home 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 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ /,0.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201' amps
Over /,01
Over 600
or less
to /,00 amps
to 600 amps
amps or 1000 volts
Dranch Circuits
$ 40.00
$ 55.00
$ 80.00
see "n" above
New, Alteration or Extension Per Panel
One Ci.rcuit ~ $ 35.00 ~c:;-
Each Additional
Circuit or with Service
or Feeder Permi t -E... $. 2.. 00 ~
E. Miscellaneous (Service/feeder not included)
. -Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $.20.00
Limited Energy/Comm $ 36.00
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5. SUBTOTAL OF ADOVE
5% State Surcharge ,..~....
TOTAL
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