HomeMy WebLinkAboutPermit Electrical 1993-4-5
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225 FIFTII ~TRm;l' 0 ~ "Of.,-~I'< ELECTRICAL PERHIl' APPLICATION
SI'RWGFIELIJ, OREGON 971t77 '110 t1~,1" fJJt:'.-r;:,;.",:;,;;,. /)Q^~' .
INSPECTION REQUI(ST: 726~i!'f!}"(-:':S~(' \O"'~~:~?~~~~tf,~i ty Job Number '-A.y h'r'-J..~_
OFI'ICE: n.6-3759 ''<OCf.s; '-...!. 'f.--/ '''fio'{:'OI.'o~'I;'
r- ,e'l<:t",. (::Ii 3 .~OHPLlmr PEE scnEDULE DELOV
1. WiW9~ ~~~F*~l'W.NA '~~b.: A.
tc!:i('L~ ~ New Residential-Single or
Hulti-Family per dwelling unit.
fl(i~~~ON ()08&:f vice Included:
~fJoJfCfOfl/'o . 1~8
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Permits are non-transferable and expire
I( york is not started within 100 days
of Issuance or if work is suspended for
100 days.
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Items
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dwelling
Service or Feeder
i
Cost
Sum
eb
$ 85.00
--e2 $ 15.00 30
$ 1,0.00
2. CON1~CTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Ele<:trical Contractor Rose Corporation Relocation:
Add,:ess 89976 Day Lane
.:
Ci ty
Phone nRn_oqn<;
Euaene
Supervisor License N~mbcr 1568-8
Expiration Dnte 10-01-93
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
$ 50.00
$ 60,00
$100.00
$130,00
$300.00
$ 40,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 54431
Expirntion Date 9-30-95
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Ovners ~am~ f\ a. O~n ~
Addressc\)\\oJQJ?\ [1J,\\O'N\ >
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OVNER IN~'ALLA~ON
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The installation is being made on
property I own which is not intended
(or snle, lease or rent.
Owners Signature:
~~~~~~-7~~-~---:~-~~~-----------~-
RECEIPT #: ~ - fJ - '---rcrY-1
IlECETVED BY:' r7\ I / Y':'i. . .
.. ".'-"....,.~ ~--._."'- - -.--..----
200 amps or less t---
201, amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Ci rcuits
$ 40,00 ~~
$ 55.00
$ 80.00
see "B" ahove
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder,not included)
-Each installation
P~mp or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limi ted Energy/Comm'
One Ci,rcu It
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
$
$
$
$
J H5..~
7,1S
--'..f,p? ~ .7 oS
40.00
40,00
20.00
36.00
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