HomeMy WebLinkAboutPermit Electrical 1997-5-13
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ap~~~e~~ld doec not req"~ire~~~::lf tho foJh
225 u.~o STREET ~''" cnd~LtcriUCAL PERHI~APPLICAnON
SI'RINGFIEID, OREGON 97471 Zoni~ 1f'r1 C-
INSPECl'ION REQUEST: 726-376'QJj '{J C1 t)' Job NWlber l) I ~ :::::>
OFFICE: 726-3759 , t - -
",U horlzUd Slgnaturo--D.M COMPLETE FEE SCHEDULE JlELOV
1. LOCATION JW INSTALLATION , :\
. ?3J() 7.I1/1JtlSTJ!11fL- A. Nev Reside;tial-Single or
: ' Multi-F~mily per dvelling unit.
\~.f5~?';~ fall Slfl!?,.) Service Includedl
, ,. I) JOB. PE5CRIPTION , /11. ;I!~ 1000 sq. it. or less_
Lif'nJl1ff;f-tl/& (l;!)1tfLt1dIJC,. fUu.e.l 9'. Each -additional 500
Ii, Q~ I r~' sq. ft or portIon
1t1SD Permits are non-transfe,rable and expire thereof
, I, if york is not started within 180 days Each Hanuf'd'Home or
I of issuance or 1f,vork is suspen~ed for Hodular Dwelling
180 days. Service or Feeder
Items
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contracto~R &/l-J!JIJ11t,Jie-
Addressw[ W. '.,) "5tR '
City~,' Phone 747,16.05
Supervisor License Number /L/735
EXPir'~tion Date /0///17
Constr Contr. Number fJ'/i?11
Expiration Pate l~/IJ /q7
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Si~a)Vre of Supervising Electrician
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Ovners Name 13~17'/ GlfIFflrfL.
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Address 3~O TI/IJ!J5TJeIIi1-
Chy SIJfktJ, Phone 7tf-7, ItJ{J5
01lNER INSTALLAnON
The inst~llation 1s being m~de on
property I ovn vhich is not intended
Cor sale, lease or rent.
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Owners Signature:
DAT;;---~--------~-----~~~1J\~----~-
A.:.\,r.d"C I: A":'\1f,\
RECEIVED Br: - ~~~ 1
Services or Feeders'
Inst~llation, 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
-
$ 40,00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Tempor~r)' Services or reeders
Xnstallation, Alteration or Relocation
-200. amps-or less $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 vo.lts see "B" Boove
D. Branch Circuits
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Nev, Alteration or Extension Per Panel
E. Hiscellaneous (Service/feeder not Included)
-Each installation
PU~p or 1rei,ation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res' $ 20.00
Limited Energy/Comm S 36.00
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One Circuit
Each Addit10nil
Circuit or with Service
or Feeder Permit ~
S. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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, S 35.00
3:5,00
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$ 2.00
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