HomeMy WebLinkAboutPermit Electrical 1996-9-13
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AuthOrIzed Signature ' 0 , \
225 1:.u' ~ n S'!REE'I'
SPRINGJ:~LD, OREGON
INSPE~~~ON REQUEST:
OFFICE: . 726-3759
1.. LO$:A'IION OF INSTAllATION
{;~ ~ l A) CE')'\.)"\1c~It\.~h m_
LEGAL DES c;::a;rL' l.~ ON
l/(7~ ;2 7l.( 50 5~OD
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Permi ts are non-transferable and expire
if va rk is no t star t ed vi thin 180 days
of issuance or if vork is suspended for
180 days.
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2. 'CON'I'RAC!OR msrAllA'!ION ONLY
Electrical Contr~ctor Phl\;?~ ~~ctnG
Address.3 i70 mp,:-~ L.AJ
Ci ty tfll ~~ Phone Cc~-(o 12... {
. D "
Supervisor License~umber q~l~ S
lO/q !~
4Constr Con'tr. Number~- \1<l G
_Io/q(p
Expiration Date
Expira tion Dat~..~
Sign~ ture ,of juPervisi~g E~ectrician
C__, c;/ ~
'- O..mers N~~ ri...~.t..\\::; 1\ ~ ~~~~
Address ~q t\l~ wkLl.., Gj S11:f".)..(8
City 6~o Phone i~~2~1!!i:.
OYNER INSTALLATION
The ins talla tion is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: q -- {/-q D:J
RECEIPT I: 2:2.,/K<X
RECEIVED B 1: Ih'
ELECTRICAL PERHrr A.PPUCATION '-
Ci ty J,ob Number q G Cl q L{ 'S
3. CO liP Lr. U~. 1: u:. SCREDtJI..E BELOY'
A.
Net,.{ Residential-Single ar
Multi-Family per d',elling unit.
Service Included:
Sum
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Borne or
Modular Dt,.{elling
Service or Feeder
B.
Services or Feeders
Ins talla tion, Alterations
or 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
S 85.0Q
S 15.00
S 40.00
LIDO 0
S 50.00 .:]L
$ 60.00
$100.00
S130.00
5300.00
S 40.00
C.
Temporary Services or' Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000 volts
D.
Branch Circui ts
S 40.00
S 55.00
$ 80.00
see "B" above
New ,AI tera tion or Extension Per Panel
One Circuit
Each Additional
Circui t: or wi th Ser'lice
or Feeder Permit (p
S 35.00
$ 2.00
/2,,0
Miscellaneous (Service! feeder no t included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy!Res
Limited Ener~J/Comm
E.
5.
SUBTOTAL OF ABOVE
5Z State Surcharge
~utl TOTAL
. 3 ~ i"\-V m w.J
Tb~
S 40.00
S 40.00
S 20.00
S 36.00
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