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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. <.::-) \~'<{J \,<\(\-10 ~\I~ \~~Sl)l)ION()[)~C) c MJO~DESp!+PTIQL 'I \ I Lr ( '1 nil\..) rcrmit~ arc non-transfcrable and cxpire if work is not started within 130 days of issuaoce or if work is suspended for 100 days. 2. COt-n'RACTOR INSTALLATION ONLY B. U" ,,',,' CO" ",,,,,j?,l rtt 11 [~O 1'+ Addrcss~tJ C~ffi~f , R~ City o (j'{\)O ~Qt[) Phone ~- ~\ll supcrvi'"or Liccose Numbcr _ \ ~9J~ S Expiration Date \ (). \. . q~ Con~tr Contr. Numbe()5B4fJ Expiration Date 10 'I.~() . q~ i i I , I ,I ,I I .I I (! I The installation is being made 00 property I own which is not intended for sale. lease or rent. Owner~ Signature: ~~~~~--~---Tr:>~~~~~----------- RECEIPT #: ~. if)(pf{;) IWCETVEll IIY:-' - , ""_. . ___ .. .. __ . _._h.>._. .,.._...__.___ 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~ ~.~~~ ::r"1..3~