HomeMy WebLinkAboutPermit Electrical 1994-04-25CITY OF OREGO'U
225 ?Tfrfl STRBBT
SPRTNGPTBLD, oREGoN 97477
The following project as subm itted h* theng, and does-not require specificapprovai.
:iPllTrlGFIELD
PERHIT APPLICATION
City Job Nunber D E7L
COHPLETE PEE SCEBDULB BBLOII
HuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Hodular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
Services or Feeders
Insta1Iation, Alterations
or Relocation:
1. LOCATION OF INSTALLATIOI : r':' ..'., N.ttA --Il-IfelrGtrterrri:a1-
S i ng Ie o rZoo S, m:ui-
INSPECTION REOTESTz 726-3769 rcir fu<,
0PPICB: 726-3759 ouru_h?_!-ag ,.
LBGAL DBSCRIPTION
JOB DESCMPTION
z?ZZocrtz= 5&z'/ e>
Sumo
Permits are non-transferable and expireif vork is not started vithin 180 daysof lssuance or lf vork is suspended for
180 days.
2. COTTTRACf,OR INSTALI,ATION ONLY
Electrical Contractor 61ir1^rs ia
Address
ci ty-Phone
Supe rvisor License Number +n2^15
Expiration Date / D: L:95
constr contr. Number
-
i';'
Expiration Date
Signature of Supervlsing Electrician
Owners Name I -r r,'i I ;, eA, ,r rrr{ P^"z^l ?n
Address ZOO S, a^lr L
Ctty Speru6Fro;LD Phone 7ZZ-4=SS
OUNER INSTALI.,ATION
The installation is being made onproperty f own vhich is not intendedfor sale, Iease or rent.
Ovners Signature:
200 amps or less
L201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect OnIy
B
c
D
E
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or FeedersInstallation, Alteratlon or Relocation
200 amps or less -$ 40.00
201 amps to 400 amps
-
$ 55.00
Over 401 to 600 amps
-
g 80.00
Over 600 amps or 1000 vorfs see I'B[ aEffi
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit t $ 35.00 3S.oa
Each Additional
Circuit or vith Serviceor Feeder Permit 3 $ .2.00
Miscellaneous (Service/feeder not included)
-Bach lnstallation
/a
?)
Pump or irrigation
Sign/OutIine Lighting-
Limi ted Energy/Res
-Limited Energy/Comm
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
€oiert
4SS-l-Y? s.ss
DATB:
RBCBIVBD
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