HomeMy WebLinkAboutPermit Electrical 1997-1-3
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'''l:J /"" 1"'-- .-. . '. "'ou
zoning, and does not require specific land uoo
approval,
225 u~~a STREET Zonina LT)R-
SPRINGFIEW, OREGON r!JJe4 77. d '2/Cj 7 ~
INSPECTION REQUEST: 72o=i7f;t;4--!- J WI . / .
OFFICE: 726-3759 Authorlzoo Signaturo T\' f 1 I j UL-
3. COMPLETE FEE SCHEDULE BELOII
1. LOCl\TION W. _W~~LATION
~Qlue" ~I
AL DESCRIPTION
.k-'.,,~ /7:'?:3 2~ (f1J
2Z~
JOB DEliCRIPTION
A \ n 0", "\".+0 IIQ-\-,,,,,,
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
ELECl'RICAL PERKIT APPUCATION
Ci ty Job Number ~ / ;:;J
A.
Nev Residential-Single or
Multi-Family per dvelling unit..
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
HodularDvelling
Service or Feeder
Items Cost
Sum
$ 85.00
S 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Elcctcical ContI.-actor.1ill.:r "r>r1Irtt-" '-\u';'l:cms or Relocation:
Address [501 Pearl Street. Suite B
Ci ty EU2ene, OR
Phone 541-342-1313
Supervisor License Number .!1!:Lq, .ILE'
Expiration Date 10/01196 /
Constr Contr, Number 59944
Expiration Date 04/29/97
Signature of Supervising Electrician
~ ,/-ft
Ollners Name Rick ~ BQ,,~I\ ~h"tt
Address <\4q R~\It?Q \C"',,\\ \~~,
I
Ci ty 1~\,{;p,1A Phone 1';)/"-9'14-;;)
." ,.., OIlNER'tNSTALLATION
"T,he ,.inst,allation is. being made 'on',
pro'per,ty I, ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~j;:7;?JI!f/ffl;;=~----
;;.-: :O~:'_~':'_"'''''''''....n.._....~.P''' ~__
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
S 50,00
S 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
S 55.00
S 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
One Circuit
J;:ach Additional
,Circuit or'vith Service
."or Feeder Pend t
E.'
Hiscel1aneous'(Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 35.00
$ 2.00
'., ...'.
not inCluded),:."
S 40..00
$ 40.00
S 20.00
S 36.00
?n nn
I
i
I,
20.00
1.00
.!i0
71.60
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