HomeMy WebLinkAboutPermit Electrical 1993-1-25
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., b itt d haothe following
Th'3 iollowing project as SU, me.. d use
225 1'11'1'11 ~TRJ-:J-:T zoning. and doss not reqUIre speCific Ian ELECTRICAL
Sl'lUNGFmLll, OIlEGON 97Io'l>7.)ro'''I. . (
INSPI!C'l'ION REQUI!ST: 726-3"/69.onlno L
OFFICE:' 726-3759 1- ,....-~C3
D.te_G"-~ ~( 3.
1. LOCATION 01' INSTAIJ.II:j\IOli,.d Signatu,e - /
~d.0Y VY\a,,/V"V A.
q ').. 1.:2 O"l
City Job Number
COMPLETE PEE SCnEDULE DELOV
Ney Residential-Single or *
Multi-Family per dyelling unif.
Service Included:
Items Cost Sum
LEGAL DESCIUPTION
nod::SJ~1
o Lf bOO
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dyelling
Service or Feeder
JOD DESCRIPTION
'I tv, r"" " r-".,
$ 15.00
Permits are non-transferable and expire
if vork is not started within 180 days .
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLA'l'ION ONLY
$ 1,0.00
Services or Feeders
Installation, Alterations or
Relocation:
D.
Electrical Contractor .:1 KG E1f-('Jr-ic.,
Add.:ess :;)..1 SJ \)f)V\. J\J./\ P 01 ,
Ci ty ~V", V\,5 ~f' If) Phone'} 4 (~- y L."S (p
Supervisor License Number *2.,1 Lf2 S
Expiration Date IDI,IClS
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
200 amps or less
201 amps to 1,00 amps
1,01 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number Y S 1 jCJ
y /::J'-! )C;2,
$ 1,0.00
$ 55.00
$ 80.00
volts see "D" above
200 amps or less
201 amps to 1,00 amps
Over 1,01 to 600 amps
Over 600 amps or 1000
Expiration Date
~ature of Supervising Electrician
();:jq(p~1A t?-4 {II~~
, Owners Name ':!.,c:.., S~vtJQ~
Address '\>.n,?-,n)<. 1,..,{..,7
CI ty O"..',,^pu', \ \p Phone Ill,.. Yd.:!1
Dranch Ci rcuits
D.
New, Alteration or Extension Per Panel
One CiTcui t $ 35.00 .3S:00
Each Additional
Circuit or with Service }~
or Feeder Permit {n $ 2.00
OVNF~ INSTALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 1,0.00
Sign/Outline Lighting $ 1,0.00
Limited Energy/Res $,20.00
Limited, Energy/Comm $ 36.00
The installation is being made on
property I ovn vhich is not intended
{or sale, lease or rent.
Ovners Signature:
5. SUDTOTAL OF ADOVE
5% State Surcharge
TOTAl.
/..-r),QU
d. :>'S
1-I'1.2.,c.,
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DATE: : :! I b \ ICl.?'
RECEIPT ft: '/ -:>'1-'-'
HECEIVI:n ny: ,.. ~B. _