HomeMy WebLinkAboutPermit Electrical 1991-02-22CITY OF onEGorv
STITIIN(;FII:Lf,'
One Circuit
Tvo to ten Clrcults
Each Addt'I ten orportlon thereof
h
225 FIFTE SMBBf,
SPRINGPIEI^,D, OREGON 97477
INSPEGTION RBOUBSI: 726-3769
OPEICB: 726-3759
1
I
EI,BCTRICAL PERHTT APPIJCATIONqtc\sl
Perml are non-transferable and expirelf vork ls not started vlthln 180 days
of lssuance or lf vork ls suspended for
180 days.
2. CoNrRACToR ONLY
Electrlcal Contrac
Address
ct Phone I
City Job Nunber
3. COHPI,RTB PBB SCIIBDUI.B BBLOII
A. Nev Resldentlal-Single or
Mu1ti-Famlly per dvelllng unlt.
servlce rncludedt -,"rs cost
B
100 amps or less
101 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Oniy
$35
$60
$e0
$130
$300
$ss
1500 sq;ft. or less
Each additlonal 500
sg. ft or portlon
thereof
Each Hanuf,d Home or
Hodular Dvelllng
Servlce or Feeder
$ 85.00
$ 15.00
$ 3s.oo
Servlces or Feeders (10 Branch Clrcults
lncluded). Installatlon, Alteratlons
or Relocation:
Sum
F\2.r.}
.00
.00
.00
.00
.00
.00
Supervlsor Llcense Number 38t S
Exp lratlon Date \t)
^-Constr Contr. Number 3?30,
Explratlon Date
Slgnature of Blectrlclan
Address
c1 Phone
OUNER
The installatlon ls belng.made on
property I ovn vhlch ls not lntendedfor sale, Iease or rent.
Omers Slgnature:
C. Temporary Services or Feeders
Installatlon, Alteratlon or Relocatlon
D. Branch Circuits
Nev, Alteratlon or Extenslon Per Panel
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBn above
$ 35.00
$ 50.00
$ 1s.00
E. Mlscellaneous (Service/feeder not lncluded)
-Each lnstallation
Pump or lrrlgatlon $ 36.00
Slgnal Clrcult or
Ilmlted energy panel $ 36.00
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
5
DATE:
RECBTVBD BI:
AO
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