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HomeMy WebLinkAboutPermit Electrical 1993-8-9 I ~ ; 1 . . 4( ~' Th,.... lJA.,JoI, ZOr."';J:. ~'./ingprOj9Cl ~.." ap Q,lO'd- as suo . . P'-h'l. 'JaG not raqui ~ltteBhE~CAL PERMIT APPLICATION ., re pecilic7a~;; TOlloWlng q' fA(') l..On' ur-a Dc:;r:ng Ci ty Job Number :\ \( '_ 225 FIFTIl ~TRlmT Sl'IUNGFIELll, OREGON 97't77 INSPECTION REQUEST: 726-3769 OFPICE: 726-3759 Au",. LJ::! SI . COHPLETE PEE SCnEDULE DELOII 1. LOQT.1QN Ol\-iNfI\*J.LATION gnature-lli \ 9','-\-' I ~ ]V, VU III / F .J A. ~al-Single or ., Hulti-Family per dllelling unit. \~JfD3E~l~~~ n,qa) Service Included: Items Cost Jon DESCRIPTION 1000 sq. ft. or less Vf"/n::;:;/~A L5~"-?> /f'~~,Each additional 500 . .. ( sq. ft or portion Permits are non-transferable and expire thereof if lIork is not started IIi thin 180 days Each Hanuf'd Ilome or of issuance or if lIork is suspended for Hodular DlleHing 180 days. Service or Feeder i I] 2. CONTRACTOR INSTALLATION ONLY Electrical contract~~Q-^I~h\ ct~ ^ddl:ess~f)~ ~ l~o ~ ~ ~"d City &x!RJ'10 .' I'hone~4~-12fi7 supervisor~icense Number \ KIQ...x ~ \CJ. \,qS Con"tr Contr. Number c~M-''?1 \ Expiration Date " Ey'P;~~:;;?t~ ~~~i~~9~ Signature o' Supervisinit.lectric1an g-~ &~~ . OIlU N~~ ~t ~ 0 ~ V\ c>> Address croo to . '( ~nul CltY~J'one OIlNER INSTALLATION Sum $ 85.00 $ 15.00 $ 40.00 D. 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 $ 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 "D" above ,.' , , :I ,( :.1 ~ ! ::j 'i III rJ' ~- .. ~I ~, :t ./ :f I to. ~ ? The installation is being made on E. property I own which is not intended for sale, lease or rent, Owners Signature: --------------------------------------- DATE: RECEIPT #: HECr-:rVED ny: ~""9 ."'<.~. ~~..,?i ~ _~S. ~... >.._ ...-..-----.- I Alteration or Extension Per Panel One C l.reul t ( $ 35.00 7.S-- Each Additional Circuit or with Service or Feeder Permit ? $ 2.00 ? Hiscellaneous (Service/feeder -Each installation P~mp or irrigation Sign/Outline Lighting Limited Energy/Res Limlt~d. Energy/Com~ no t included) 5. SUBTOTAL OF ADOVE 5% State Surcharge TOTAL $ $ $ $ s?/.~ "2~-- 4"":[ ~ 40.00 40.00 20.00 36.00