HomeMy WebLinkAboutPermit Electrical 1991-03-27slrttl-ir(;FtELo
BLECTRICAL PERHIT APPLICATION225 TIFTII S]TBBT
SPRTNGPIETD, oREGON 97477
INSPECTION REet BST. 726-3169
OPPICE: 726-3759
1
IJGAL
2. COI*IIRACTOR INST
Blectrlcal Contract
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3
A
City Job Number
COHPLBTB FBB SCIIBDUI,E BELOS
Nev Residential-Sing1e or
HuIti-Famlly per dwelllng unit.
Service Included:
Items Cost
1-500 sq.ft. or less
Bach additlonal 500
sq. ft or portlon
thereof
Each Hanuf 'd llome or
-Modular DweIIlng
Service or Feeder
$ 8s.00
$ 1s.00
$ 3s.oo
Servlces or Feeders (10 Branch Circuits
included). Installation, Alteratlons
or Relocation:
Sum
Permlts are non-transferable and expirelf vork ls not started vlthin LBO daysof lssuance or lf vork ls suspended for
180 days.
ONLY B
Address
Cl ty Phone
Supervlsor Llcense Number
Expiratlon Date
Constr Contr. Nuriber
L00 amps or less
L01 amps to 400 amps I
40L amps to 600 amps
.------'-
601 amps to 1000 amps-
0ver 1000 amps/vo1ts
-Reconnect Only
@$ 3s.00
$ 60.00
$ eo.oo
$130.00
$300.00
$ 3s.00Z
Explratio n o^rc 3l ?-lo lq Z,
C. Temporary Services or Feeders
Installatlon, Alteratlon or Relocatlon
200 amps or less
201 amps to 400 amps
0ver 401 to 600 amps $ 80.00
Over 600 amps or 1000loT[s see rrgrr
"ffi-
D. Branch Circuits
Nev, Alteration or Extenslon Per Panel
r
ture of Supervlslng Blectrician
s
Address
Cl ty Phone
OVNBR
The installatlon is belng made onproperty I ovn vhich is not lntendedfor sale, Iease or rent.
Ovners Slgnature:
DATE:
$ 1s.00
Miscellaneous (Service/feeder not lncluded)
-Each lnstallation
Pump or irrigation $ 36.00
Slgnal Clrcuit or
limited energy panel_ $ 36.00
$ 3s.00
$ 40.00
One Circuit
Tvo to ten Clrcults
Each AddtrI ten orportion thereof
SUDTOTAL OF ABOVB
5Z State Surcharge
TOTAL
$
$
35.
50.
00
00
B
5
RECBIVED
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