HomeMy WebLinkAboutPermit Electrical 1999-10-05C'TY OFSPR OFEGO'U
225 FIFTB SIts.EEf,EI,ECTRTCAL PERHIT APPLICATION
SPRTNGFTEID, oREGoN 974 ffning City Job Nurnbe, QINSPECf,ION REQI'EST o.t"7OFBICE: 726-3759
Au(norleecl stgnature 3. COHPI,STE FEB SCffiDI'LE BELOII
1
T,EGAL DESCRTPTIONt-lo3 a-tu*r O rio--z
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
q t:'-5
Sum
?rE-
Peruits are non-transferable and expire
lf vork is not started vithin 180.days
of issuance or if vork is suspended for
180 days.
2. COTTTXECTOR INSIAIJ,ATION ONLT B.
Electricar contrac t", /h ut /Atkv 1lgzrut
Address
Ct ty 7^ lu'--Phone //d/-3ff7
Supervisor License Number
ExP iration Date c.
Constr Contr. nunt,er /33(gi
Expiration Dat 2
Signature of
t4,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Bome. or
Hodular.'Dvelling
Sertice or Feeder
Services or Feeders
Installation, AlterationsI or Relocation:
s 8s.00
$ 1s.00
.$ 40.00
200 amps
201 amps
401 amps
601 anps
0ver 1000
Reconnect
ress I400 amps
600 amps
1000 amps
or
to
to
to
00
00
00
00
00
00
50.
60.
100
130
300
40
$
s
$
$
$
$
5A_
----
amps/voI ts
0nIy
cl Phone
OSNER
The lnstallation is being made on
property I ovn vhiih is not intended
for sale, lease or rent.
Omers Signature:
DATE:
Temporary Services or Feeders
Installaiion, Alteration or Relocation
200 amps"or less $ 40'00
over qbt to 600 amis Z $ 80'00
o;;; 600 .rupi-ot-i6oof'It" see nBri aE66
Branch Circuits ; .'
Nev, ilteration or Extension Per Pane1
Orie Circuit $ 35'00
Each AdditionalCircuit or vith Service
or Feeder Permit $ 2.00
Hlscellaneous (Service/feeder not included)
-Each installatlon
Pumo or irrisation
s ign/Ou t I ine- Ligh t ing-
Limited EnergY/Res
Limited nnergY/Comm
an
0mers Name
Address
eo.r-
D.
E
$ 40.00
s 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
'1965tate Surcharge
32 Administrative Fee
TOTATRSCEIVED B
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5
oo
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