HomeMy WebLinkAboutPermit Electrical 1990-10-18CTN G SPF ,FiELD
t
225 YLr-TI] STREE-I
SPRTNGPTEI^D, oREGON 97477
INSPECTTON REQTIES?: 126_3169
OPPTCE: 726-J759
EI.ECTRICAL PERXTT APPLICATION
7
1 e-
PTION, lz 1t_
OUNER INSTALIA?ION
The installation ls belng made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Ovners Signature:
3. COI{PI^RrE PEE SCBEDUI,E BELOg
A. Nev Resldential-Single orItulti-FamiIy per AvEtltng unit.Service fncluded:
City Job Nuaber
f tems
One Clrcuit
Tvo to ten Circuits
Each Addtrl ten or .---
portion thereof
ID
Cos t
s 8s.00
$ 1s.00
s 3s.00
s130.
$300.
$ ss.
s 1s.00
Sum
Permits are non-transferable and expireif vork is not started vithin-igO daysof issuance or if vork is. "u"p"ni"a fo,180 days.
2. COIMRACf,OR INSTALI.ATION ONLY
JOB
Electrical Contractor
Address 0-I U,+-
Ci ty ryd..Phone Lb,n
Supervisor Li ?: io4
Expiratlon Da
Constr Contr. Number Z0'L4
Expiration Date /o
Signa of trlclan
Ovners Name
Address
City_
,Phone
1500 sq.ft. or lessEach additional 500sq. ft or portion
thereof
Each Hanufrd Home or
-
Modular Dvellins
Service or FeedIr
Services or Feeders (10 Branch Circuitsincluded). Installation, aiiu."liin,or.Relocation:
B
lL/
c.
E.
100 amps or less
101 amps to 400 amps TiL401 amps to 600 amps601 amps to 1OOO amps-Over 1000 amps/volts
Reconnect 0nly
S gs.
$ 60.
s e0.i.rt}.t!
00
00
00
00
00
00
D.
Temporary Servlces or FeedersInstallation, Alteratlon or ielocation
200 amps or less .{ S 35.00 #;#,201 amps to 4oo amps
-
a 4o:fi 7 ""
Over 401 to 600 amps _ $ 8O.OOover 600 amps or.rbooE'Ifs ;";-;;; aEoE
Branch Circuits
Nev, Alteratlon or Extenslon per panel
$
s
3s
50
00
00
Hiscellaneous (Service/feeder not included)-Each installatlon
lyrp.9" _irrigatton S 36.00
lirnited energ.y panel_ S 36.00
STIBTOTAL OP ABOVE5f State Surcharge
TOTAL
DATB:0b
OO
oDRECEIVEDBY:
D 5 ry# (aq
<+ <.t, I I /.<dr-4E dZ.
int
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