HomeMy WebLinkAboutPermit Electrical 1993-4-12
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225 FIFTH STREET ,'o'~"[;6~e. r~'o' 0 j2l ELECTRICAL PERMIT APPLI, CATION
SPRINGFIEW, OREGON 974'lZr-;~Q'~<<~ VV ........-: -,10/ .
INSPECTION REQUEST: 72~3'l69' '<<0 y^ Ci:ry Job Number Of ;L,DLt:)~ Y'
OFFICE: 726-3759 . oLof'\ _o,} "J ,'.______
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A - -.=--- '0.>-3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATIOif';-:-- :-.....~Y'
.J-/7 z.. fltLES//)E carBY A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
Ii () ~.z.t?'2.- \ 0 1 (p 0-0 Items Cos t Sum
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor eoV~€JV€
Address f',t). &,l( ;1-3'-J 2--4-
Ci ty t: VI-,EIV€
Phone ~.;...;. .5~/
Supervisor License Number / (/ r J- .s
Expiration Date /0- / -<J.s-
Cons tr Con tr. Number 1t' ZOZ;>
Expiration Date
':1, - I 7 - <Jtp
Signature of Supervising Electrician
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Owners Name !VI Ii <?, C:;--PA~1.
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Address 2./ t z...
City SpA;)
Phone
OIlNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------7r---------------~--------------
DATE: '-(-/2--1:::' .
N:.1.or..I.Yr ii :~() i) ""Z-.
RECEIVED ny: u..Nv.': n
--
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd.Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to.IOOO 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
pvvO'P r.e.e-
$ 35.00 -:2.J=;.Z'D
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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310 . 00
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