HomeMy WebLinkAboutPermit Electrical 1994-4-11
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225 r J.~.o STREET: . ~C!./ ELECTlUCAL PERHI'r APPLICATION
SPIDbUO..o, OREGON 97477 Zon:,lO ,
INSPECTION REOUEST: 726-3M~4-11-q4- City Job Number q3 -ID4~
OFFICE: 726-3759 . . 'h ^. .) .
. Authorized Sillnalu,e ~ '''''''''''u9r&l1B PBR ,>"",,,,~ULE DELOII
1. LOCATION OF INSTALLATION
4 <::; (." H J'l K.L D kJ f( D A. Nell Residen tial-Single or
Multi~Famlly per dwelling unit.
LEGAL DESCRXPTI~ Serviee Included:
'\'"7 o?., -;)'J(X) (fJ../()(') Items Cost Sum
JOB DESCRIPTION
I.(/I((F ~EL.J (<~OCEte'l u.er
. I
Permits are non-tr~ferable and expire
if lIork is not started vithin 180 days
of issuance or if work is suspended for
180 days. "
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Hanuf'd Home or
Hodular Dwelling
Ser~ice or Feeder
B. Services Dr Feeders
Installation, Alterations
El.t:c.r or Relocation:
2. CONTRAClOR INSTALLATION ONLY
Eleetric~l Contractor IL-.~~ ~eel~
Address 4~~ c;l-/elu="'I ':>Tl2.
I
City ~Pf"O Phone 14-7 -o~11
I
Supervisor License Number Y :< 00 b <;
Expira tion Date . '~ I 'i} I<'iLl
Canstr Contr. NUlnber 'I (':>191.3 a
IO-I..,Cf,
200 amps or less ~
201 amps to 400 a~ps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconneet Only
S 85.00
$ 15.00
,
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,.... I ~.
$ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
IOO~
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C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps, or 1000 volts see "B"
D.' Branch Circuits
Expi'ration Date
"
. ~~e_o_~:~eetrician
owners:J) &. ;I)C;~V tlJer ~~_
Address . /! 'I ~ ,f.~fr;./,,~':} /...17
Ci ty ~ f r-p 1hone ....1.i.7 -h fa:"
01lNER INSTALLATION
The. installation is blirig made on
property I ovn which is not intended
,
for sale, lease or rent.
I
I
I
40~
above
Nev, Alteration or Extension Per Panel
'OneCircui t
Each Additional
Circuit or vith Service,
or Feeder Pe,rmi t 50
$ 35.00
i
~; ~.
S 2.00 /00-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
L~mited Energy/Res
Limited Energy/Comm
Owners Signature;
DATE;
RECEIPr t:
RECEIVED BY:
-'-yi ,II o~-
! I d.~4 I
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. 5. SUBTOTAL OF ABOVE
5%'State Sureharge
TOTAL
$ 40.00
$ 40.00
$ 20,00
$ 36,00
'2", 00
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