HomeMy WebLinkAboutPermit Electrical 1995-4-7
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11/18/94
15:46
U503 726 3689
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SPFD [lEV. SER.
~002
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2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders'
1 I/J Il. IJ Installation, Altere.tions
~ ~ Electrical ContractorlA\ vieftlfll/l1tn\,TNc.... or Relocation;
9P Address fJ?~ W. /).10 II ~ 200 amps or less
~ 0' ,~ II 201 amps to 400 amps
City a. Phone2!J..7'1V1P3&... 401 amps to 600 amps
601 amps to 1000 amps-----
Super.visor License Number 14735 Over 1000 amps/volts
/0111/.15 Reconnect Only
Expiration Date VI
Constr Contr. Number OgbQq
/Z/IKIC1S
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Sign~e of Supervising Electrician
~ LA:. /X._
Ollners Nan::0DW!mh U iL
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Address 114-1 1IJ1fWU :5~r;EET
city 6 p6W I Phone 14-h' Lf/PLj-Y.
OIINER INSTALLATION 'I,~6/("/8/9';<O?o7
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owl proIeet as su. "" ",
Thf fOlld ng d- not requ're ,\. ,
!ty..'"g, an -
'225 FIFTS STREET Ilppf~val, , f:-
Sl'RINGFIElD, OREGON 97477 toning" I___:D
INSPECrION REQUE'ST: 7~~~3769li-7-f1)
OFFICE: 726-3759 :.-; , .y f\^.
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1. LOftTION OF 1NST1L4):.I,Q!}-
/7 7 In INN ::J17ft:.cJ A.
. n~FJf.S~J;lIorflJ/Id1EtL//JtJ/z(L
t'l (l.L=to\ r~~ f)( elM)
~ JOB DESCIq;PTION / .;
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Permits are non-transferable and expire
if 1I0rk is not started.'lIithin 180 days
of issuance or if, 1I0rk is suspenlled fOr
180 days.
Expiration Pate
x
The installation is being made On
property I Olin vhich is not intended
(or sale, lease or rent.
.
Owners Signature:
----- ------...t.--zf-7- .'/- -----;..;, 5.
1/ / L --... ",
DATE: , ... fI ",,) , ..--,:Dr::..
IUlCEI~II: I , / / /} 1\7\ P
RECEIVED BYI.~:::1\;,/ Jr.;! / '- ,
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ELECTRICAL PERHIT AP~CAl~k
City JobNUIIlber_ \DLlJSl)
m>1rPuITEPEE SCHEDULE BELOV *'
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Nell Residential-Single or ' ,
Hillti-Family per dvelling unit:
Service Included I ' ,
Items Cost Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereot
Each Kanuf'd'Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see liB" 8l)ove
D. Branch Circuits
Nell, Alteration or Extension Per Panel
One Circui t
Each Addi tional
Ci rcui t or vith Service 7
or Feeder Permit
S 35.00 35,00
$ 2.00 14,00
E. Hiscellaneous (Service/feeder not included)
-Each installation '
Pump or i~rigation $ 40.00
Sign/Outline Lighting_____ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL