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HomeMy WebLinkAboutPermit Electrical 2001-10-30 ELECI'RlCAL PERMIT APPLICATION ~.()\ City Job Number \)\. O\\QC\. .(')\ \~'\1 3, COMPLETE FEE SCHEDULE BELOW TI.Qtl \F' ~ A. New Residential-Single or Molt! -FamiJy per dwelling unit SeIViae Included: . . 22' FIFTH STREET SPRINGF!El.D, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-37'9 L LEGAL D~CRIcrl ptf:l'O';:A''6 ~-n~ .~t\4-~ 1000 sq.ft. or less Each additional 500 sq. 1\ or portion thereof Each Manufd Home or Modular Dwelling Service or Feeder 2, CONl'RACI'OR INST ALLA TION ONLY B. Services or Feeders o / r ~ Jnno.l1"Jltion. Alterations or Electrical ConlIactor.f1'Jh /-. '"Ap/{ Yee.:z: PI C-- Relocation: Address / ~ D k, l nz: S hI" r if II ;/<7-> 200 amps or less ? "I" (.) 20 I amps 10 4Q0 amps City C Wji-"P~ Phone r:;,P-Q-')9?.J 401 amps 10 600 amps C" 601 amps 10 1000 amps SUpeMsor License Number 3<J//' 5-::-",,) Over 1000 ampslvolts of /'J R____~,__l Only Expiration Dale U/ - tJ I ~ kn-/ /.f~ , ../ ConslI ConlI, Number 9 h:J rJ,5 Expiration Date J- .2 S~ - .8 2--- C. Tc....,._-~J Services or Feeders Installation, Alleration or Relocation Signatute of Supervising Electrician 200 amps or less 20 I amps to 400 amps O\'CI 401 to 600 amps Over 600 amps or 1000 volts see "B" above 1VdR-+~~ Owners Name ~\\ \)Q.t\ ~ Address_~ l<\:i5 City ~ '\"\0 I\n. Phon;r\,4-.1.ld.6) O~STALLATION Items Cost Sum -L$106,OO J.Q1o ~ $ 19,00 :lli> $ 50,00 _$63,00_ _$75,00_ $125,00 $163,00 $375,00 S 50,00 . -L $50,00 l5Q _ 569,00 _$100.00_ D, Branch Circuits New Allern.tion or Extension Per Panel One Circuit $43.00 Each Additional Circuil or with Service or Feeder Permit E, Miscellaneous (Service/feeder nCI i"c1uded) -Each installation Pump or irrigation SignlOulline Lighting Limited EnergylRes Limited Energy/Comm The installation is being made on property 1 own which is not intended for sale, lease or rent OwnCI3 Signature: $ 3,00 $50.00 $.50,00 $25,00 $45.00 Minimum Electric Permit Inspection Fee is $45.00 + Surc:harges 5. SUBTOTAL OF ABOVE 7% State Surcharge 8% Administrative Fee TOTAL ~i ctJulo.8D