HomeMy WebLinkAboutPermit Electrical 2001-09-241. II}GATION OP INSTAIJATION
IXGAL DESCR.IPTIONtv, uD'\fl..'
Qr t(}FrELo
gI.ECMICAL PERT{IT APPLIGATTON
City Job rrunber C{ - 6bq '{ {" O i
OOTPLTTB TBE SCSBDI'I.E BBIOS
Nev Residential-Single or
Hulti-Fauily per dvelling unit.
Serviee fncluded:Itens Cost
1000 sg.ft. or less
Each additional 500
sq. ft or portion
thereof
Each l{anuf 'd Boue or
[odu]ar Dvelling
Sertice or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Peeders
Ins tallation, Alterations
Relocat ion:
'200 amps or less
201 anps to 400 anPs
-
401 amps to 600 amPs
-
501 anps to 1000 amPs-
Over 1000 amPs/volts
-
Reconnect OnIY
The tollowing proiect as submitted has the follorting
ii"ii.ei. iiio".fei not require specific land use
approval
Date
CLZoningq
zed Signature
3769
225 ErFfS SltsEEr
SPBIIGEIEU), OREGOII
IIISPtsGfIOil REOIIESI:
OPEIC8: 726-3759
AZ{hZn
726-
3
A
\1. Ob Sum
JOB.DBSCRIPTION
la )n [1t t, f-
Pernits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CfitrRACTOR INSTAIJATIOT{ OITTT
Electrical Contractor
lddressh 6nx e 05
Ynonegfuletz. 837 3
Supervi License Number .l1Ll ES
Expiration oate lO- l-Ol c.
Cons tr contr. Number eo- 3 t1u Teuoorary Services or Feeders
Insiallaiion, Alteration or Relocation
Expiration Date
Ci ty
Orners Name
Address
Ci ty
$ s0.00
s 60.00
s100.00
$130.00
$300.00
s 40.00
200 amps'or less $ 19'00ioi ili" to 4oo aups
-
q !?.oo
over-abt to 600 amfs
-
$ 80'00
over 600 amps or 1000Efts see rrBx
00
00
00
00
Signat of Supervising Blectriclan
Llnited EnergY/Conm
ST'BTOTAL OF ABOVE
7X state Surcharge
&3t xatnistratlve Pee
a56ve-
Zr'-g
,
OTNER INSTALT.ATION
The installation is being made on.
property I ovn vhich is not intended
ior-sale, lease or rent'
D. Branch Circuits
Ner, Alteration or Extension Per Panel
One Circuit
- Each Additionar s te#d
-Each installation
Puuo or irrigation
Sic;rZOuttine Light
Liiited EnergY/Res
Cireuit or vith Service
or Feeder Permit
-
$ 2.OO
E Miscellaneous (Service/feeder not included)
Phone
$40
$40
$20
s36
i"g-
,nr' 'TT rft ?, r-?n
UU UJ V U'UTJ b
CITY OF SP OFEGOA'
5
Aw 5t9t
CITY OF SP FIELD, OREGON
225 ?TFff SMEEf,
SPnI}GEIBU', ORBGON 97477
IIfSPEC[r0l RBOItBSf,: 7ZG-3169
0FFICE: 726-3759
1 OF
I.BCAL DESCR,IPTTOI
COl{PIAf,3 PBB SCEBDUIA BBTOII
Nev Residentlal-SingLe orl{ulti-Panlly per dvelling unit.Service fncluded:
ftems Cost
DEVELOPHENT SENWCES DEPART7/ENT
- rlllGFlELD
l0O0 sq.ft. or less
Each additlonal 500
sq. ft or portion
thereof
Each l{anuf ,d Hone or
-llodular Dvelling
Service or Peeder
Servlces or FeedersInstallatlon, Alteratlons
or Re}ocation:
3
A
B
8I8CTRICAI. PBEI(rT APPLICATIOI
Clty Job tulber /t
225 FIFTH STREEI
SPRfircFELO, @ 97477
p4r) m$753
FN( $4t) 7%-3ffi9
s 8s.00
s 1s.00
$ 40.00
s100.
$130.
s300.
$ ao.
Sum
Permiif coof is
ts afe non-trk is not st
suance or If
ransferable and expire
arted clthin 180 daysvork is suspended for
180 days.
2. (I)TTITACMB IIISf,AIJATTON OtLr
Electrical Contractor
Address
ci ?h""" 4b/':039/
Supervisor License Number {7{?<
Expiration Date
Constr Contr. Number
Expiration Date
Signature Electrician
C. Tenporary Servlces or Feeders
Installation, Alteration or Relocation
200 anps or less S 40.00
over 401 to 600 anps
-
$ 80.00
Over 600 anps or 1000-6Es see 'Bn a6ffi
D. Branch Circuits
Neu, Alteration or Extension Per Pane1
IoneCircuit t S35.00
Each Additional
Circuit or vith Serviceor Feeder Pernit I S 2.OO
Miscellaneous (Serviee/feeder not included)
-Each installatloa
Puup or irrlgation
sf drlou t 1 i ne- Ltgh t ittg-
Liuited EnergY/Res
-
Linited Energy/Conn
SUB?OIAL OP ABOVE
7f, statc Surcharge
3Z Adninistrative Fee
200 anps or less
201 anps to !g_0 aaps
-401 anps to 600 anps
-601 aups to 1000 anps-
over 1000 anps/volts
-Reconnect OnIy
00
00
00
00
00
oo
$ s0.
s 60.
0mers Name
Address
cit Phone
OT'NER INSTALI^ATIOI{
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0nners Signature:
B
s 40.00
s 40.@
$ 20.00
s 36.00
DAIts:
RE(:ETPT
':
5
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