HomeMy WebLinkAboutPermit Electrical 1995-05-24, C'TY OF STilNGFIEL OFEGO,U
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OFEICE: 726-3759 A{ihoiizedsignature 3/y'/a6HPrPTg IIBE scffiDul.g BBLou
1.' II)CArION OP
2?5 FTYEI SIT,EBf,
ipnrNcrlslD, oREGoN 97477
nsirscrrou itsougsf,: 726-3W*"
OSNER INSTALI,ATION
The. lnstallatloh ls belrig made on
otspeiiV I ovn vhlch ls not intended
for iale, lease or rent.
The lollowing Proiec't as subm itted has the
zoning, an
approval.
d does not require epeci{ic land use
A.
D
D
h
ELECTRTCAL PERHIT APPLICATION
city Job n-A"r-?Pz4 /
Nev Resldentlal-Single or
MuItl-FamlIY Per dvelling unit'
Service Included:Items CostIJGAL DBSCRIPTION o2 .Aa-'
JOB
Pernlts are non-transferable and
lf vork ts not started vlthtn 180
of lssuance or lf vork ls susPended
'180 daYs.
2. CONI"ACTOR INSIALI,ATION ONLY
Electrical Contractor
Address
Clty Phone / 7,(
Supervisor Llcense Number
Explratlon Date
Constr Contr. Number
Expl ratlon Date
Slgna of Sufervlslng trician
prners Nqme
Address
Cl ty Phone ^9 -2497
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or Portlon
thereof
Each Hanuf'd Home or
Hodular Dwelling
Servlee or Feeder
B. Services or Feeders
Insta1lation, 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 0nIY
c.Temoorary Services or'Feeders
Installaiion, Alteratlon or Relocation
$ 85.00
$ 1s.00
$ 40.00
$130.00
$300.00
$ 40.00
$s0
$60
$100
00
00
00
.00
.00
.00
rlBrl
$40
$s5
$80
-
t
200 amps or less
201 amps to 400 amPs
-
Over 401 to 600 amPs -
Over 600 amps or 1000 volt s..see aE6'6
Branch Circuits
New, Alteratlon oi Extension Per Panel
'one clrcult -= $ 35.00 S*n."t Additional: circuit or vlth Service
Hiscellaneous (Service/feeder not included)
-Each lnstallation
Slgn/Outllnb Lightlng-
t lnited EnefgY/Res
s 40.00
$ 40.00
$ ,20.00
$ 36.00Otmers Slgnature:
DATB:
5. SUBTOTAL OE,ABOVE
5Z 'State .surchhrge
TOTAL
C|'D
RECEIVBD +3ob Admrn Fe-<-
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