HomeMy WebLinkAboutPermit Electrical 1992-10-29
~..:
225 FIFTH ~TRE"T
SI'IUNGFIELU, OIlEGON
INSPECTION REQUEST:
OFFICE: 726-3759
97't,77
726-3769
1. ~OCATION OF INSTALLATI~.. . L.
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MJO~DESp!+PTIQL
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rcrmit~ arc non-transfcrable and cxpire
if work is not started within 130 days
of issuaoce or if work is suspended for
100 days.
2. COt-n'RACTOR INSTALLATION ONLY B.
U" ,,',,' CO" ",,,,,j?,l rtt 11 [~O 1'+
Addrcss~tJ C~ffi~f , R~
City o (j'{\)O ~Qt[) Phone ~- ~\ll
supcrvi'"or Liccose Numbcr _ \ ~9J~ S
Expiration Date \ (). \. . q~
Con~tr Contr. Numbe()5B4fJ
Expiration Date 10 'I.~() . q~
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The installation is being made 00
property I own which is not intended
for sale. lease or rent.
Owner~ Signature:
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RECEIPT #: ~. if)(pf{;)
IWCETVEll IIY:-' - ,
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3. COMPLETE PEE SCnEDULE BELOV
A. New Residential-Siogle or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each addi t iooal 500,
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alteratioos 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
Reconoect Only
$ .85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Iostallation, Alteration ar Relocatioo
Miscellaneous ,(Service/feeder
-Each installation
Pump or irrigatioo
Sigo/Outlioe Lighting
Limited Energy/Res
Limi ted Energy/Com'n
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
200 amps or less
'-/ 201 amps to 400 amps
Signat~~S;;ervi~ Electrician Over 401 to 600 amps
\!\ ~~/ &./A ./. Over 600 amps or 1000 volts
I~ner's NameiQA UOJid", ~'(O~ Braoch Circuits
^ddreSs~~~~J\W'.l1 SJ---..:..' (jNew1 Alteration or Extension Per paoel-::z.c:::.
~6 flY 3c:!-...Qf5 nne Circuit $ 35.00 <..),)
Ci ty'-. ~ I'honc_a;Q-' '--0 Ea~h ^~dition~l .
I \ CHCUit or wIth Servlc,e III
OIINER INSTALLATION or Feeder Permi t (jJ $ 2,' 00 ~
$ 40.00
$ 55.00
$ 80.00
see "D"
above
not included)
$ 40.00
$ 40.00
$20.00
$3~
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