HomeMy WebLinkAboutPermit Electrical 1997-7-23
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\ . ,~~Q\ifltB ~~r>-~ " ing tA{ ELECTRICAL PERMIT APPLICATION
r>-~P~CO',""~GON 97477 ,,-on - 1 q 7 / / / "')
~~~r..~fEOOEST: n.6-37~'V l.YCJ Ci ty Job Number _(.
OI!BIi,q,ePP-'7Z6-3759 _ n M
r>-~'\ Mthc!1zed SlgnolU,Q_LCj. COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION I
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Eloctric,,1 Contractor Able Electric
Address 5511 MAIN
CitY",,"PRINGFIELD Phone 726-6701
Supervisor License Number 30235
Expiration Date 10101/QR
Constr Contr. Number 92506
ExpiL'atio!" Date 7/16/98
~~f~ervls2~1ectrician
A.
Nev Residential-Single or
Multi-Family pe~ dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular 'Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation!
200 amps or less
201 amps to 400 amps.
401 amps to 000 amps
601 amps to' 1000 amps
Over 1000 amps/volts
RQconntilc-t Only
Items
Sum
Cost
S l!::J.00
$ 15.00
$ 40.00
$ 50.00
$60.00
S100.00
$130.00
$300.00
$ 1.0.00
C. Temporary Services or Feeders
.Installation, Alteration or Relocation
OVners Name
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/
/"7'-""'1'
Phone :?)"7 ':;2. 9.515
Address .:5 J> .3 /'
City 5p/~O
'OVNER INSTALLATION
The installation is being made on
property I own which is not intended,
for ~alp., lease or. rent.
Ovners Signature:
----------t----1 ----------------
DATE: I 2.~ Cf'7''- .
RECEIPT #:1 /iJ.l.(I)Y.(W
RBCEIVED BY: 'T.' f/l11A--
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
D.
Branch Circuits
S 40.00
$ 55.00
S BO.OO
see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit / $ 35.00 ]~
Each Additional
Circuit or with Service
or Feeder ~ermit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$'40.00
$ 20.00
$ 36.00
3.5P ()
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E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL