HomeMy WebLinkAboutPermit Electrical 1992-11-23
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225 l'IFTII ~TREET PProlla/, does not ::,S~brnitted f;LECTRICAL PEllMIT APPLICATION
Sl'IUNGFIELIl, OIlEGON 97/,77 Z. < ~lJ"especlficQ.the'Of/
INSPECTION REQUI(ST: 726-3769DQtell.o~ng~tr7 l' cTtYl!~I1~R~,,!ber!l:xR1./3
OFFICE: 726-3759 ~~~ <
"'1.Jif1o,~s/ 3. COMP TE FEE SCnEDULE BELOV .
1. LOCATION OF INSTALLATION IJn~~
3/50 MRI~ sr:' Residential-Siogle or
Hult per dvelliog unit.
LEGAL DESCRIP'TION Service Incluijed:
1102~ 100 [:0400 Items Cost Sum
JOB DESCRIPTION
AI)[) mOJ.\ -ro (') ~j::1.U:i"'
Permits arc non-transfcrnble and expire
if vork is not started vithio 180 days
of issuaoce or if vork is suspended for
100 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical. Contractor glefTE, Eu:.L,U<..l<-.
.,
SIOIIINc..;.t;Iu'LU
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd 1I0me or
Hodular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ qO.OO
B.
Services or Feeders
Installatioo, Alterations or
Relocation:
Auul:ess 72'0 ~~AI-l~t::R.. ~. 200 amps or less I $ 50.00 So.dJ
Ci tY~A-LU S : 012. Phone 201 amps to 400 amps S 60.00
745-51/) 401 amps to 600 amps $100.00
601 amps to ,1000 amps $130.00
Supervisor License Number 1&;5"5 ~ Over 1000 amps/volts $300.00
Reconnect Only $ qO.OO
Expiration Date Ib -1-45
The installation is being made on E. Miscellaneous (Service/feeder not included)
property I ovn vhich is not intended -Each installatioo
f~or sale, leas. 1 ,7,; :..e~t;,-! ~ 10 ?fY fi/1 P~lmp or i:dga~ion. $ qO.oo
Nr~V1 'c.Y{'((;;t-Slgn/Outhne LlghtIng $ 40.00
O."n rs Slgn'ature: r=t-lot? 7':Z Limited Energy/Res $.20.00
, ~ Limited, Energy/Comm' $ 36.00
_______________________________________ 5. SUBTOTAL OF ABOVE ~l/.~
DATE: nli,ier- 5% State Surcharge LJ,~
RECEIPT B: (~ICA TOTAL' 34~
11I,TETVEll BY: ,., i;lQ.,_ n. ,. ___.._____ !?Au:tJoJai: ~(~) ~1./5i''5~
Conser Contr. Number O$~Ltf
E>:piration Date (,-'So-'l3
. ~~tg?a~e of Supervisinrr Electrician
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Ollners Name D~.
Add ress 2. I S,D
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OlfNlm INSTALLATION
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C.
Temporary Services or Feeders
Installation,' Alteration or Relocatioo
200 amps or less
201 amps to qOO amps
Over q01 to 600 amps
Over 600 amps or 1000
$ qO.OO
$ 55.00
$ 80.00
volts see "n"
above
D.
Braoch Circuits
Nev, Alteration or Exteosion Per Panel
One Ci~cuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t ,;)0 $ 2.00 t/lJ.~
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