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HomeMy WebLinkAboutPermit Electrical 1996-3-22 . 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 , , 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-.") . ELECTRICAL PERIlIT APPLICATION City Job Number QS 17 0 .J- 3_ .. 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' )..0 ,6'b l . (:>0 . (00 ..1- 2-1 . ,.,,()