HomeMy WebLinkAboutPermit Electrical 1996-3-22
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The following project as submitted has the loll
zoning, and doe. nol require specific land USE
epproval. ()
Zoning ,IIU 0
225 F~FTB STREET Date 3/47(#
SPRINGFIEW, OREGON 97477 Authorized ~ignaturo ~j;}
INSPECTION REQUEST: 726-3769 f
OFFICE: 726-3759
LOCATION OF INSTAL4TION ( L,"
9'1 ~ o(d,,~b.1(C \l
LEGALJDESCRIPTION 0 / 003
/70.:::; ;j.,D 00
1.
JOB DESCRIPTION
Ct-€.~('\ P~\R..()
Permits are non-transferable and expire
if work is not starte~ within'180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor 13\fo...d.Uc;. {J('I-,'
Address '7Cf d.. 0 l ( V {::...
City.Cc...~ Phone ]l{r-~)'?7
Supervisor License Number
Expiration Date
Cons tr Con tr. Number 07 C{ ( S-
Expiration Date 7 - / ),-? '?
~i~LZing Electrician "
, r -I-;: ^. '1> II '/r_.. ^.A D.
Owners Name /-u / W<.A.-' 0 t(-c, ~~
Address '\ ~'73 j{(~, {&)/lAto...
City ~LA..-( Phone ,~O- . 11'1'1
OVNER INSTALLATION
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The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
D~TE~~::~~-~Z;-------------------
RECEIPT ':O:.L07GtS
RECEIVED BY: i' . ~o...J-.")
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ELECTRICAL PERIlIT APPLICATION
City Job Number QS 17 0 .J-
3_
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COMPLETE FEE SCHEDULE DELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
the reo f
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
'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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ' ,
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
"
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
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
$ 35.00
,-
$ 2.00
'. :
not included)
. I
$ 40.00
$ 40.00
$ 20.00
$ 36.00'
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