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HomeMy WebLinkAboutPermit Electrical 1993-4-5 SI.I"N(,,;.':I~l.U ~;'~~,::>'~~:;",) Il' iIA.1-.1, 'J'.:I rlc' '0," ~,.W' " o.),'l".J~fC'... . ~. 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 - " , Permits are non-transferable and expire I( york is not started within 100 days of Issuance or if work is suspended for 100 days. " 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 ~ ~ : Si'""'"~~~~""" Ovners ~am~ f\ a. O~n ~ Addressc\)\\oJQJ?\ [1J,\\O'N\ > c It y FfQijlg_-.- Pho~OY3-1a.Cl1 OVNER IN~'ALLA~ON .': ." :., ;,) '.:Ii .' iI II 'I JI r: "I ~l , , , i ! 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 "