HomeMy WebLinkAboutPermit Electrical 1994-01-18CITY OF OREGO'V
SPR!hIGFIELD
m
ELBCTRICAL PERIIIT APPLICATION
City Job Nwbec ? ?& 72
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LBGAL DESCRIPTION
JOB DESCRIPTION
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1;Ep_-rr\ q*x
Permits are non-transferable and expire
if vork is not started vithin 180 days
of lssuance or lf work ls suspended for
180 days.
2. COI{TRACTOR INSTALI.ATION ONLY
Electrical Contractor Fi <SI(
3. COHPI.ATE PEB SCBEDULB BBLOS
A. Nev Residential-Single or
MuIti-FamiIy per dvelling unit.
Service Included:
I tems
Address \qO N \gf\\
Ci ty Phone
Supervisor License Number e#s
Expiration Date tD-/-tr
Constr Contr. Number
Expiration Date
ture of Supervlsing Blectrician
Owners Name
Address
Ci ty Phone
OSNER INSTALI.ATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATB:
B Services or Feeders
Insta1lation, Alterations
or Relocation:
c
D. Branch Circuits
New, Alteration or Extension Per Panel
200 amps or less ;
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect On1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
201. amps to 400 amps
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$ 55.00
over 401 to 600 amps
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$ 80.00
0ver 600 amps or 1000 vohs see rrBrr a[ffi
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
-Modular Dvelling
Servlce or Feeder
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t --
SUBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
Cos t
$ 8s.00
$ 1s.00
$ 40.00
$ 3s.00
$ 2.00
.lOB"
$ s0.00
$ 50.00
$100.00
$130.00
$300.00
$ 40.00
g
B Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00sign/outline-Lighting- S 40.00
Liilited Energy/[es I $ 20.00
Limited trner[y/Comm $ 36.00
RBCBIVBD
5
cc)
225 FTFIB STRBET
1 LOCATION OP INSTALIiATION
rb..r(r:
/?o-€^74 /?/ab
97477SPRINGTIBU), ORBGON
INSPECTION REQUBST:
OPPICE: 726-3759
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