HomeMy WebLinkAboutPermit Electrical 1994-05-09e a I
I r-- "r, -follovringnotspecffic land
A
D a
0i!aszoning
approval.
225 FIFTE S13,EE[
SPRTNGFTEU), OREGON 97
INSPECTION REQTIEST:
OFPICE: 726-3759
1 LOCATION OT INSTALI.ATION
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LEGAL DESCRIPTION/703 21 / oa*ae
JOB DESCRIPTTON
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI,ATION OM,Y
Electrical Contractor
Address €n. Bb4(g
ciry F 'oiz.,/1-{vnone 46/-5bff
supervis# License Ntimber / -, '? -f t. g
Expiration Date //-/-76
Constr Contr. Number (rr514q
ExP iration Date 6 -2 8-qb
Signatr6e of Supervising Electrician
ELBGIT,ICAL PER}IIT APPLICATION
City Job Number ?/o6s
SCFEDULE BELOU
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Eaeh additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DweIling
Service or Feeder
s Bs.o0
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
Zonin
Authorized Signature
7
Sum
B.
c
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
STETOTAL OF ABOVE
5f State Surcharge
TOTAL
s 50.00
s 60.00
s100.00
s130.00
$300.00
s 40.00
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Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "8" above/ -n ,.&
Ovners Name
Address
Ci ty one
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Addi t ional
Ci rcui t or vi th Servi ce
or Feeder Permi t
s 3s.00
s 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Prrmp or irrigation
Sign/OutI ine Ligh t ing-
Limited Energy/Res
3b.oD
s
s
S
s
00
00
00
00
40
40
20
36 eu.r'n
5
RECEIVED BY: