HomeMy WebLinkAboutPermit Electrical 1995-05-22C'TY OFSPR OREGO'V
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INSPECTION REQIIEST: 72Q-3769
OFFICE: 726-3759
Ci ty Job Nurnbe rQfif ox
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I^EGAL DESCRIPTION t1o5 7Q tt alsa
JOB DESCRIPTION
3. COHPI,ETE FEE SCEEDI.II,E BELOV
Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
s 8s.00
s 15.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
INSTALI.,ATION23d q
Sum
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI-A'TION ONLY
Electrical Contractor beNcr- E\ee\, SJC.
Address
Ci ty Phone
Supervisor License Number 3?l s
Expiration Date
Constr Contr. Number
Expiration Date p
Signature of Supervising Electrician
c-Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps"or less )-
201 amps to 400 amps
-
Over 40L to 600 amPs
Over 600 amPs or fOOO voTT
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
s 3s.oo
s 2.00
E.
200 amps or less
201 amps to 400 amPs _
40L amps to 600 amps _
60L amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnlY
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
B
$ s0.00
s 50.00
s100.00
s130.00
$300.00
$ 40.00
$ 40.00
s ss.00
s 80.00
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Ovners Name
Address
Ci ?
ub
Phone
OVNER INSTALLATION
The installation is being made on
p.op"tIy I ovn vhich is not intended
for sa1e, lease or rent'
Owners Signature:
MisceLl-aneous (Service/feeder not included)
-Each instaflation
Pu*p o. irrigation
-
$ 40'9q
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DATE:
RECEI
RECEIVED
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