HomeMy WebLinkAboutPermit Electrical 1983-8-9
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225 l'IITII ~TREln
SI'IUNGFIELll, OIlEGON 97/,77 '.00;0'-
INSPECTION REQUI!ST: 726-3769001"~' .
OFFICE: 726-3759 n_
Altlio,.-OdSI911RIUre-3.]-U:OMPLETE PEE scnEOULE BELOV
1. LOCATION OP INSTALLATION ~
q S ~A.1 i:..Orlp A. Nev Resi(\ellu~-Single or
(J Multi-Family per dvelling unit.
LEGAL DESCRIPTION Service Included:
I' ()<--:J.'" ~~ OOL..J.Jl) Items Cost
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JOjl. !?ESCRII'TION
'-zJbe.. 1./W So >J7 e_ 177J rx.
Pcrmits arc non-transferable and expire
If work is not started vithln 100 days
of issuance or if work is suspended for
100 days.
Sum
L $ 85,00
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Ovelling
Service or Feeder
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:l $ 15.00
'30.od
$ 40.00
Elc<:trical Contractor R~~~ Z&>c....
Address :21() \11 )ofbiY M~. ~~l.... c..
City_5.,iAc./~~ I'hone.J",91 -/~~
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Supcrvi,;or License Number :2.,6Y ( S-
Expiration Date 10l, \c.c-
Constr Contr. Number '"'7~/1o-;;;;:'
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
2. CONTRACTOR INSTALI..ATION ONLY
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Expiration Date
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Signature of Supervising Electrician
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Owners Name -r..l',{)
Add ress \ ~~ \
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CitY~I'-:<J~Q Phonc {,,;~3-'::l/~7 ~
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OVNER INSTALLATION
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The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
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O\lners Signature:
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DATE: . 1<'1 \0/:>.., .
RECEIPT ft: C-j 8 1..19
ItECI.:TVEIl ny: ._Q~_ __ ...._..._.______
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
O.
Branch Circuits
$ 40,00
$ 55.00
$ 80,00
volts see "B" above
Ne\l, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One CI.rcui t
Each Additional
Circuit or \lith Service
or Feeder Permit
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40,00
$ 40.00
$ 20,00
$ 36.00
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