HomeMy WebLinkAboutPermit Electrical 1997-2-21 (2)
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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
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