HomeMy WebLinkAboutPermit Electrical 1999-11-10OF SPFcl OFEGO,U
NlNGF!ELl,
III,IECTNICAL PBRHIT APPLICATION22.5 FIF'III STRIiIiT
sPIuNGFIlil,D, 0RIi(;ON 9'l 4'l.l
INSPEgtIoN ITEQUES'I z 126-3169
OFPICEz 'l?-6-)159
1. LOCATION
DIISCTIIPTION
J0ll SCRIPTION
ax
Ierable arrtl expire
tl wi thin 180 .days
lc is suspended for
2 INSTALLATION ONLY
d
Uwtrers Naure
Add ress
Ci ty Prrone 747-,llOt
OVNER -tNS'I'ALLATION
The installation is being made on
proper ty I or,rrr wlrich is not intendedfor sale, Iease or reut.
Owners Signature:
ta AF INSTALLA'I'AON+-terketr.Wz
Ci ty
COHPLB'IE FIIE SCIIEDULE I}ELOII
Nev Residerrtial-Single or
Mul t i-Fanrily per dwelling uni t .
Service Included:
Jrb Nunrbe, ?1t E{L
I tems Cos t
$ 8s.00ft. or lesstI00
IFIHE
s WORK $ 1s.00
eIl
Serv i ce or Feeder
Services or FeedersInstaIlation, Alteratiorrs
or Reloca t i otr :
r less /o 1100 arnps
o 600 amps _o L000 amps
Over 1000 arnps/volts
Recounect 0n1y
3
A
NO
IH,s
IICE;
['errrr i ts are lr0Ir- tt'alls
if worl< is rroL starte
of issuatr€e or i f vor
180 days.
comr?r?ffgii
El ec r r i caflu0lherfotqhg
A<l<lress Bql
ci tvEi.r Plrorre @"-O?Og
Supervisor Licetrse Number lsCB 5
Expiratiotr l);rte o d
Corrstr Corrtr. Nurnber 5+*3 I
Exg>iratiorr Date oo
Sig rra ture o.[rvisirrg Blec trician
Tenrporary Services or Feeders
InstaLlation, Alteration or Relocation
ANY 1
s 40.00
$ s0.00
s 60.00
$1oo.0o
$130.00
$300.00
$ 40.00
Sum
{/_?
FOB
B
200 arn
201 anr
401- anr
60L anr
pso
pst
pst
pst
C
200 amps or I
201 amps to 4
0ver 401 to 6
Over 600 amps or L
ps
00
One Circui t $
Each Addi tional
Circuit or vith Serviceor Feeder Permi t 2 $
B. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $Sign/0utline Lightiug- $Lirni ted Energy/Res
-
SLirni ted Energy,/Comm $
/ $ 19.qq 4L4-s 5s.00
$ 80.00
0 vo].Es see ilBx affi
ps
ess
00 am
00 anr
'y^
D. Branch Circui ts
Nev, Al-teration or Extension Per Panel
35.00
2.oo @_
not included)
40.00
40.00
20. 00
DAI'E:
RECEI
'vr#^u',llt 3l,til:H"
3Z Administrative Fee
TOTALRECEIVED I}
it /o T1 0o