HomeMy WebLinkAboutPermit Electrical 1997-7-1
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225 FIFTH STREIn' OeteJ-1-c,7-
Sl'RINGFIEUl, OREGON 97477.uthOrlZ&d -
INSPEcnON REQUE'ST: 726-3769 SlgnetIJr,,_ n M
OFFICE: 726-3759
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1. WCATI N OF INSTALJ.4TION
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ll1J.OB DESCR1P'l'ION 1L
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Permits are non-transferable and expire
if 1I0rk is not started'lIithin 180 days
of issuance or if'lIork is suspen~ed for
180 days.
ELECTRICAL PERHIT f'V~9Ai't00/\-
City Job NWlIber ~ \U ) 6.1
3. COMPLETE FEE SCHEDULE BELOII
A.
(J
Nell Residential-Single or
Multi-Family per dllelling unit.
Service Included I .
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd.Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders'
L /I & bJ7. Installation, AlterAtions
Electrical Contractor ./'(, If;; i?In.~~O:-<tr Relocation: '
Address(i;! W. 'l). 5/7L . ~~ ~~ 2Go amps or less 4- $ 50.00 ~()O.OO
<; , j()'/ /../. 'Y' ~ ~,Oi?~mps to 400 amps -+ $ 60.00 IdQ.JlV
City.Jf)I2I/llG.FlGl)) Phone '/'1J.tPl//3(J v~ ~~sC!o 600 amps $100.00/.1"!f1./l()
, 5 ~O ~i1$l! ~ 1000 amps $130.00
Supe1',visor License Number 1'173 ~A.r<S!o~~s/volts d $300.00 ~tt?
;:0 /llq7 R~~~ O)vR~~ $ 40.00
Expiration Date '/11' '2>, '/ ..... v.
C. Temp~r)?~~ ~ or Feeders
Constr Contr. Number ()~bqC) Instal~;!$r~ ~t~tion 01' Relocation
.. ~ ~ V"
200 a~ ~l~ $ 40.00
201 amp~,s~~o amps $ 55,00
Over 40l~ 600 amps $ 80.00
Over 600 amps or 100u vo.Lts see "B" aOove
Expiration Date
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Signature of Supervising Electrician
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Address;{fgS 04:rfJPRic- ~ '
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~R J'STALLATION ;(ttAt.Lode-
The installation is being made on
prope1'ty I Olin vhich is not intended
for sale. lease or rent.
.
Owners Signature:
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RECEIFf II: ~ "" . .~~~~
RECEIVED BY: '1J '\\~ jt.)'....
D. Branch Circuits
Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or lIith Service
or Feeder Permit /t.1~
. $ 35.00
$ 2.00 o?ot1~
E. Miscellaneous (Service/feeder not included)
-Each installation
Fump or lrriiation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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$ 40.00
$ 40.00
$ 20.00
$ 36.00
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