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HomeMy WebLinkAboutPermit Electrical 1997-2-21 (2) . .~ / "'- r.....') f:>1:0\':ir,p projZ\'":t cs C'v'::t: -i. ' . ~ Z...lilrli';, .::.nd does not I"::;~ ';.) ~."~ ..;iC. :C, '., 225 PIFTH STREET e"p:ovel. ,1 ELECTRICAL PERMIT APPLICATION ~~:~~~:;>REg~;~~ 9~;~~3769 'I2,irygLDL &ity Job Number_Cfnl:I] . OPPICE: 726-3759 D,Cl(- - /.!lJ.-,,-, . 3.1l IODIlIPLETE PEE SCHEDULE BELOV 1. !.Q~UO~NS LATION AUi~"rIZ">d SignaturoLLLlL1 \.~ \~"" f) L9/kJr A. Ne~ Residential-Single or - Multi-Family per dwelling unit. LEGAL DESCRIPTIO Service Included: \~()LC102-' Items ~ -eo. D~~~\~ ~_' \ \rA~~ Permits are non-traftsferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days.. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder I ~ Cost Sum $ 85.00 P>~ 3D $ 15.00 S 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations Electrical Contractor Allen Electric or Relocation: Address 12 SW 3rd St. City Madras Phone 475-2139 . Supervisor License Number 1006S Expiration Date 10-1-95 C. Temporary Services or.Feeders Installation, Alteration or Relocation Constr Contr. Number 6R74~ Expiration Date 9-4-95 Signature of super?7sing Electrician 2l~td-. _XkA~_~' Owners Na~rLi\ aT Address B=fq SO.... ~'2.nd--- City~L Phone 144. (AlAtJ ~STALLATION , The. installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: DATE~-------------;;::~\-1:tf\-------- RECEIPT. I: - \ ~O" AW3\ RECEIVED BY: , 'vJ....!.' , . ~- ~ ~ 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 200 amps or less, 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D.. Branch Circuit~ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL.OP ABOVE 5% St~te Surcharge .. ~eTM. 30.0 T0\rt.9----- $ 35.00 $ 2.00 not included) S 40.00 $ 40.00 $ 20.00 S 36.00 1\5.cO S:IS.- ::;! ;4( ') I~.W