HomeMy WebLinkAboutPermit Electrical 1998-05-06a -OREGONCITY QF
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S PERMIT SHALL EXPIRE TFTHE WOBK
THIS PERMIT IS NOT ELECTRICAL PERHIT APPLICATION
INSPECTION REQIIEST:CCN'HESIOfiD oR ls ABANDoNED FOR city Job Nunber
oFFICE: 726-37se 5'1y tgg DAY PERISp,3. COHPIJTE FEE SCffiDTII,E BELOII
INSTALLAFlfl1OF
DESCRTPTION
JOB DESCRIPTION
4
Permits are non-trans
if vork is not starte
SPR....;FIELC,
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
TION
A.
/7 L _ 6 L+"toL_
4// (aac't /{
ferable and expire
d vithin 1B0 daYs
B.
c
I tems
1000 sq.ft. or less
Each addi.tional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
r 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 0n1Y
-Each installation
Pump or irrigation
-
Sign/OutJ.ine Lighting-
Limited EnergY/Res
-
Limited EnergY/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
Cos t
$ 8s.00
$ 1s.00
s 40.00
s see rrBr a5'ove
Sum
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical Contractor
Address o 7
Ci ty Phone 22/'7SOS
Expiration Date 6, /.(
Constr Contr. Number 2
Expiration Date 2 6 r
Signature fSu sing Electrician
s Name a nd /a dm /"
Address /r - De RR ad
Ci ty ai Phone I f;-'7q7o
Temporary Services or Feeders
Insta1lalion, Alteration or Relocation
$ s0.00
$ 60.00
$100.00
s130.00
$300.00
$ 40.00
200 amps''or less
201 amps to 400 amPs
-Over 401 to 600 amps
Over 600 amps or fOOO voTT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit Y $ 35'oo X
Each Additional
Circuit or vith Service-
or Feeder ,Xl,i'i,"=""2- $ 2'oo &:
E. Miscellaneous (Service/feeder not included)
$ 40.00
$ ss.00
$ 80.00
OIINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Orners Signature:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5
DATE:
- 3-a
I
RECEIVED
$?)
Qn-[.
n/
Supervisor License Number 2A 7/J'
SD^
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