HomeMy WebLinkAboutPermit Electrical 1994-3-15
zO~ln~,O~d does not require specific land use
approval.
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726-:l"I6 !)ate 3 Ie., /q~
225 1'11'1'11 ::TRlmT
Sl'IU/lGI'IIU.Il, OIlEGON
INSPECTION REQUI\5T:
OrI'ICE: 71.6-J75?
!\uthorlzed Signature
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1.
LOCATION 01' INSTALLATION
JJ52- MAIN ~T;
LEGAL DESCRIPTION
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// f:lOr;
Jon DESCRIl'TION
CtJ}/dlf./ t"~f W IAUNMY
Permit5 are non-t~an5ferable and expl~e
If york is not started vithln 100 days
o( issuancc or if vork is suspcnded (or
100 daY5.
2.
CONTRACTOR IN5TALI.ATION ONLY
lnectrical Contracto~ /, ,,-e(c,-.
Add~es5. x-r-'; (,-() il/ /:t!'rc-'c.!o.
t.'/).
. (2'..... /' '- ~/-\ . ,,~ ~ ,,-'" c~..
CI ty :.h._",<./~.-(-u,..lrJ/1 hone 7......(.... /9.' Y:;>
. .
'. J. . -,../ C
SupcrVlsor Llcen5e Number -:5 '-:"'1..:> _.'J
It: /0// ??
Con:;tr Contr. NumbeL' 'irO ~ 5'"0
~/2,/ 94J
Ey.piration Date
Ey.piration Date
Sicna~urc~upervisinrr ~e~cian
~~ tPtJ;;7----
ollncrs- Narn~~)\W~.d S: YLl
Addrc5s liS?... MAID.
ELECTRICAL
City Job Number Q40 ~~(n
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3. COMI'Ll!Tl\ PEP. SCnEDULp. DELOI/
A. Nev Residential-Single or *
Multi-Family per dvelling unit:
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
\
sq. ft or pnrtion
I
thereof ".
Each Manuf'd 1I0me or
Modular Dwelling
Service or Feeder
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 05.00
$ 15.00
$ /,0.00
or
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ /,0.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over /,01
Over 600
or less
to /,00 amps
to 600 amps
amps or 1000
D. Services or Feeders
Installation, Alterations
.1;-/<..,( ;:.., "Reloca t i on:
D.
Dranch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "0" above
Nev, Alteration or Extension Per Panel
City ~r:lJ
Phone
'7-1&'-5':'2./
3<(./- 27J'7<l'~6t.)
One CI.rcul t /
I:ach Additional
Circuit or with Service
or Feeder Permi t ,.31
Ol/NER INS'l'ALLATION
.I
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.,
Ovners SIcnature:
-~-----~-------"r------~~-------------
DATE: .. :=> \SlqL..{
RECEII'T n: __._____J.\.0:2,( A
HEn:rvr:1l ny, .~
$ 35.00 35:"00
$ 2. 00 ~
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Liml ted Energy/Comln' $ 36.00
5. SUDTOTAL 01' ADOVE 4-I.tnJ
5% State Surcharcc . '2ps-
TOTAl. f-'2.()G;;