HomeMy WebLinkAboutPermit Electrical 1997-6-6
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. The following project as submitl&d has the foil
zoning, clOd does not requlie specific land uoo
225 FIFtH STREET appwval. /' /J / ELECTRICAL PERKIT APPLICATION
SFRINGFIEUJ, O~ON 97477 1onir:;':l ~
INSPECTION REQUEST: 726-37691" f. eM Cl ty Job. N\Ullbe'r tf1 ()~11
OFFICE: 726-3759 Oerl~;.~~ .....L-{_ ,_
Authorized S}gnlrture f31'1\COHe.LRIEPq SCHEDULE BELOV
1. LOCATI~ OF INSTAl4TIQN .
'95.5 It,'{'/ .ShL I l$1bK-ALL./I1/(JIL- A. Nev Residential-Single or '
.' $fol(l1t;e) Multi-Falllily per dvelUng unit.
, LEGAL DE~~PTIOp,'/AI() Service Includedr
~ n02/b( t$. '~~,' Items Cost
i
. r-. ,JO~I DESCRIPnON . ,.L., .
Jt . 1Ji2aw ~(]/J;;JIfeUY III ~o/n
'7~41 Permits are non-transf~rable and'..plr.
if work 1s not started.vithin 180 days
of issuance or if.vork is suspen~ed for
180 days.
2 · CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor [, I. /J1/l-JhJJm. T/Il~
I~ 'i I, I ' 1/7\ 'I I _
AddresslVo W. b) ~1ee.e., ,
. -, '
City 5jOt~ I Phone-1!:1:..7/~t,0g
Super,visor License Number -1. 4-7-35
Expi~ation Date {Ojl/Cf1
Constr Contr. Number DZH1
/2-/ '8 /VJ7
Expiration Pate
Signature of Super~ising Electrician
-~7 L ,A,:.IL.-" .
Ovners Name 5fu~ t;{)AQL~
Addres456 ~.htrA tU(/h Rd,:d! 366
Ci ty _Bu~e;N~ Cfl.i!liPhone fbg3, q rJtJ /
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OVNER INSTALLATION
The installation is being made on
property I ovn vhlch is not intended
for sale, lease or rent.
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Owners Signatures
~
DA;~;-----~TmY' ----:------..---
RECE!?'i' t: - 'I.f.AO "]I? OIfA ..
RECEIVED BY: . , ,j'JJUJX
1000 sq.ft~ or less
Each 'additional 500
sq. ft or portion
thereof
Each Hanuf'd'Home or
Modular DvelHng
Service or Feeder
Services or Feeders'
Installation, Alterations
or Relocation:
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
Sum
$85.00
, $ 15.00
$ 40.00
$ 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 $ 40.00
201 SlOpS to 400 amps ~ $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
/
, $ 35.00
One Circuit
Each Add! tional
Circuit or vlth Service 1
or Feeder Permit U\ $ 2.00
3~06
k
E. MiScellaneous (Service/feeder not inclUded)
-Each Installation
PU~p or 1tc!eatlon
Sign/Outline Lighting
Limited Energy/Res -
Uml ted Energy/CoUlm ·
5. SUBTOTAL OF ABOVE
S% Stat. Surcharge
3% Administrative Fee
TOTAL
'. . .... -. -~..-.-..
$ 40.00
$ 40.00
$ 20.00
_ S 36.00 .
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