HomeMy WebLinkAboutPermit Electrical 1996-12-13
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225 FIFTH STREET 20""""'~ I \J Tv ELEC'l'RICAL PERHIT APPLI00N
SPRINGFIEW, OREGON 974TJ.?P1o,.' ., . _ ~ , .
INSPECTION REQUE'ST: 726-3769 -z.ct\1k~~ / / A Ci-tnDb NUIlIbe~./
OFFICE: 726-3759 [21 ~!Iv'..w.l. ~ . .
07.\0_ . Sign,-,\U1o . :OHPLETE FEE SCHEDULE BELOV
1. LOCATIO~ g~ INSTj\LLATI9,ij,no,if:".
30? /5 /( I17C 1611 tI./ tM /l /(1/6
LEGAL D~CRIPTION
J 70 3 2':).J~ 1 pjc)tiO
. . J'J }'JB DESCRIPTION . ~h
/(e/;/f/(< 5c.I?V/e6l>/1I?1/t-Ggz) ---:'
tt '1~1 uf J /II f) Stl),.{' h1 . ,
1 Permiis are non-transf~rable and expire
if work is not started'within 180 days
of issuance or if. work is suspen~ed for
180 days.
A. New Residential-Single or .
Hulti-Family per dwelling unit.
Service Included: .
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd'Home or
Hodular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders'
L Ii? iJ A.. / L Installation, Alterations
Electrical Contractor ^ OKfHlnf1-111 .TAILor Relocation:
200 amps or less . :I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only --L--
AddressfRJ' uJ~T "O"~ne.. '
Ci ty5pt-UJ ,0/7477 Phone 1'17 .6c,is
SU'pe~visor License Number /4735
.
10/1/97
Expi(ation Date
Constr Con[(. Number t?J?~~
!J?/If!l/b
Expiration Date
~
Si~e of Supervising Elect~ician
u ..~ L ~-//
ow:ers ~/;;-m€" UIJIJ~/JII-h[
Address 3;1./5 ~1l-/e/ahuJtJtJiJ /I-i/B"
Ci ty-Slf-d ,q7f77 Phone -
OIlNER INSTALLATION
The installation is being made on
prope~ty I own vhich is not intended
for sale, lease or rent.
.
Owners Signature:
~A~~;-----/-~::;~~~----~--------~-
RECElt"l' I: :t.. '-I"CX7_
RECEIVED BY, H/
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~o
--
c. Tempora(y 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 100v VO!ts
D. Branch CirCUits
$ 40.00
$ 55.00
$ 80.00
see "B" soove
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irriaation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
", .-."
. ",,-'-'-.,-.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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