HomeMy WebLinkAboutPermit Electrical 1998-11-2
"
.
S_GFIELD
~ ,o!lowlng projecl 8$ submitted has tho follow
l~~ing, and doss not require spec~lc land use
approval,
Zoning
~~ir~~~~~~~GON 974TPa1e II ~y '\
INSPECTION REQUEST: 726~lllg/llIIUft' IIA..J
OFFICE: 726-3759
1. \1f)~ON\~{\ r.e~~~tt~.\:lrb
\rm~~IOb~\o('()
~~~\:rS on-transf:~~~:1te
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~ t::I":!.y;;.,
/
.>>v
Address
16'fz
.,/
/.-
City C.-<-rJL
Supervisor License
Expiration Date
Phone TZ'1-(r;;60
'115- S
Iz ("1tf'
63J~7 BB
/z(9g
Number
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
~~
Owners Nam/~I~~ ~\l\O j
::::e~:~~~~Ol\)~ '
, ~:TALLATION
The installation is being made on
property I own which is not intended
for sale, lease 'or rent.
Owners Signature:
---------------------------------------
DATE: ('/-~ .9-$
RECEIPT : ':?/ -9:2 '"'?-
RECEIVED 'BY: , ~;,;~~ ~
k V (2...-
ELECTRICAL PERMIT APPLICAT~N
~:'~ob Number (l~~~/./
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling ~
Service or Feeaer ~
Services or Feeders
Installation, Alterations
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
Reconnect Only
uni t.
Cost Sum
$ 85.00
$ 15.00
$ 40.00 ?i)
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "8ft
D.
Branch Circuits
above
New, Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or with Service ~
or Feeder Permit ~ $ 2.00 ~
not included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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'1.10
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