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HomeMy WebLinkAboutPermit Electrical 1993-05-17'- SPl..4|GF|ELEI CITY OF OREGO'U rL qJ225 PIYTH STRBET * i ll SPRTNGPIEIJ, ORBGON 97477 'I INSPECTION BEQIEST. 726-3769 OPFICB: 726-3759 . EI.PSIAICAL PERHIT APPLICATION city Job nwAer ?a / 1 OP o I.^EGAL ,ON JOB DBSCRI Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or lf work is suspended for 180 days. 2" CONTRACTOR INSTALI.ATION ONLT 3. COHPI.ETB PBE SCEBDULE BBLOS A. , Nev Residential-Single orHulti-Fanily per dvelling unit. Serviee Included:Items Cost 1000 sq.ft. or less Each additional 500sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dwelling Service or Feeder $ 8s.00 s 1s.00 s 40.00 Services or Feeders Ins tallation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps- 0ver 1000 amps/volts -Reconnect 0nIy Temporary Services or Feeders Installatlon, Alteratlon or Relocation Sum r- B. c Address 6e \,r /6 city F , qt -Phone &f t- 7o?7- ,rr"rrr""7 License Number 38/ L/ ( Expiration Date /o-?3 fllectrical Contractor Constr Contr. Number 15','f f ? Expiration Date Signature fSu ectrician Ovners Name Address ci ty-Phone OUNER INSTALI"ATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: 200 amps or less $ 201 amps to 400 amps - $ 0ver 401 to 600 amps - $ Over 600 amps or 1000-6Fs se s $ s $ 00 00 00 00 00 00 50. 60 100 130 40 40 55 80 e g s300 $ 00 00 00 D. Branch Circuits Nev, Alteration or Extension Per Panel One Circui t s 3s.00 Each Additional Circuit or vlth Service or Feeder Permi t rgn "f,ffi I/ s.2.oo Z B. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Lighting- Limited Energy/Res -Limited Energy/Comm $ 40.00 s 40.00 s 20.00 $ 36.00 5 STIBTOTAL OP ABOVB 5Z State Surcharge TOTAL DATB: RBCBIVED <4r7-a ,l