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HomeMy WebLinkAboutPermit Electrical 1997-07-215Pti. iFrELt) The tollo'a'lng pre':ori rt :" r'''' rr' '' ' -' ZOn,.,-' :-':' .. i.': ' 'r;' :"-''l 'owin9 s sppJNGFrELD, OREGON 97477 -, \ l.{\ "t. .. INSPECTION REQUESTT 726-3761 "^ , "^ " City Jo oFFrcE: 726-37sd "'--1'.)l''f1 1. LocATroN op TNSTALLATI.N ilp\A .,HP'L",B'FBE CAL PERHIT APPLICATION b Nunber ql / c7 I 7e t s(zc JOB DESCRIPTION V,t tuZ-7v 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,ATION ONLY Poq7i../g--fElectri Address caI C Ontractor tpDus SCEEDTIIJ BELOV A. Nev Residential-Single or Mu1ti-Family per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home. or Modular Dvelling Service or Feeder s 8s.00 $ is.00 $ 40.00 B. Serviees or Feeders Installation, Alterations or Relocation: Sum L. City "4tRru| Fr rrO Phone l1 b-@zL Supe rvisor License Number /b71 S Exp iration Date Constr Contr. Number ll OA f Expiration Date signature o, ,uffi.rt, Ovners Name Address Zbt ark"C 7 City S)rt,*qfi€t b Phone 1?G'76) I OgNER INSIALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0vners Signature: DATE: s300. $ 40. C. Temporary Services or Feeders Installation, Alteration or Relocation aEve D. Branch Circuits E Nev, Alteration or Extension Per Panel One Circuit I $ 35.00 -3{-Each Additional Circuit or vith Service or Feeder Permit -- --Z g 2.oo f Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/outline Lighting- Limited Energy/Res Limited Energy/Comm {1 - 4s t cda.ly tatrf L 200 amps or less 201 amps to 400 amps -40L amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect Only 00 o0 00 00 00 00 S so. S 60. $100. s130. 200 amps"or }ess $ 40.00 201 amps to 400 amps - $ 55.00 over 401 to 600 amps - $ 80.00 Over 600 amps or 1000-vAf[s see frBrr $ 40.00 $ 40.00 $ 20.00 $ 36.00 t/t q 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Lt{ RECETVED I 4t 5n.,7G