HomeMy WebLinkAboutPermit Electrical 1993-8-23
The fol'......':n,., .
2onir" l"\.",",,~ a.~ subm/ffprl h. ELECTRICAL
971, TPPpro, ~, "~ .he fOllowing CJ '? -""I /;
726-3769 ~. J.rA\ I1J __ '"''(::i ty Job Number /.:yr./ 'T,
Lorllng,_l!J!.~ /'
Det2_'6-.:2.:fL-1~-3. COMPLETE FEE scnEDULE DELOY '"
1. ~OCATION 011 INSTALLA;JH~,0N..!ed~;. , 'I/1AA /.
l---\7 A-sh. Sf- .....Gna:urG:::f--~ New Reside~tial-Single or
-flutt'i-;,,'f.am,i1Y per dwelling uni t.
LEGAL DESCRIPTION Service Included: .
1<6' OoD 2.7 ,n O(~()O
225 FIFTII STREET
SPIUNGFIELD, OHEGON
INSPECTION REQUEST:
OFFICE: 726-3759
Jon DESCRIPTION
Permi ts arc non-transfera'ble and expire
if work is not started within 100 days
of issuance or if work is suspended for
100 days.
2. CON1~CTOR INSTALLATION ONLY B.
Electrical contractorj'j,//s elute/Go
Addl:ess 31 70 LU:e-:~t llth
Ci ty _r..-U 9 e.ne. Phone 3L/3/ 35 ~.
Supervisor License Number 208l.J. C-
Expiration Date /()-f- 93
Constr Contr. Number2/35 J
Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or ~ess $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 100~ amps/volts $300.00
Reconnect Only $ 40.00
C. Temporary Services or Feeders
Ins talla tion, 'Altera tion or Reloca tion
Expiration Date L/-/-9c..j 200 amps or less
201 amps to 400 amps
~lgn ture Q)f s~er~~ng Electrician Over 401 to 600 amps
, 'b (~~ Over 600 amps or 1000
L/~ -- r.V -------0:- Branch Circuits
O....ncrs Name / n-eV~-cJo- fD}};Y1/l ()I~'
Address
) 7 f7
Sots!
\
(' f' f\ '-#--el/l VI (' J
Phone 7L(7 hoC!
I
City
O~Nrill INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
I,
~~t;~--~~~-~:~~~~7~--~------~~
RECEIPT #: ___. __ -. /O{)(c:;;07
1U~CE1Vr:D BY:~ /"V:I )
.. -CYJ. ~~.__.m. -...-......-'---.-
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit I
Each Additional
Circuit or with Servic~
or Feeder Permit
$ 35.00 3~
$ 2.00
E.
Miscellaneous (Service/feed~r
-Each installation
P~m~ or irrigation
Sign/Outline Lighting
Limited Energy/Res
Li~it~d Eriergy/Com~
.J . "j :_
j ; .' r i. ~
SUnTOTAL :OP: 'AllOvE
5% StateSutcharge
TOTAL
not included)
gofE-
;J-
$ 40.00
$' 40.00
$20.00
$36.00
5.
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