HomeMy WebLinkAboutPermit Electrical 1990-11-29 (2)1. tocATroNt?st
OP TNSTATIJ\TION
ScoTh Gl< u /
225 PIWE SIBEET
SPRINGTTEU), oRBGoN 97477
INSPBGIfO}{ SEOUBST: : 726-3769
0PFrcE: 726-37se
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BIJGIRTCAL PERXIT
Clty Job Nu.uber tu
3, ' C0I{PLRTZ,rEE- SCEBDT4A BEIOU .
A. Nev Resldentlal-Slngle. or
Hultt-FamlLy per dvelllng unlt.
Servlce Includedr
. Iteus Cost
1500 sq.ft. or less
Each addltlonal 500
SQ. ft or portlon.
thereof
Each Hanuf'd Home or
Hodular Duelllng
Servlce'or Feeder.
$ 85.00
$ 15.00
B
I.EGAL DESCPJPTION *?oo
Suhl
JOB t
Permits are non-transferable and explre
lf vork ls not started vlthln 180 days
of lssuance or lf vork is suspended for
180 days.
2. COT|ITACTOR INSTALI,ATION ONLY
Electrical Contractor
Address ;E a . &q v
Cl ty F,-rfv "x- Phone 3Vt'l9o
Supervlsor Llcense Number 9rt{-s
.OIINER INSTALI,ATION
Name
Address
Phonec1
.? '$ 3s.oo rt!1
'servlces or Feeders (10 Branch Clrcul.ts
lncluded). Installatlonl Alterallons
or Relocatlonl . .io
100 amps oi less . .;
101 amps to 400 ahps
-
401 amps to 600 amPs
-
601 amps to 1000 anPs-
Over 1000 amPs/volts
-
Reconnect Oj.r, . ,-
$ 35.00
s 60.00
$ 80;oo
$130,'00
$300.00
$ 35.00
Explratlon Date 7o-? /
Constr Contr. Numbe r -2o-asD q C. Temporary Sdrvlces"or Peeders
instaff.ilonl .Alteratton or Relocatlon
Explratlon Date D.$ 35.00
$ 40.00
$ 80.00
Slgnature of, Sup'ervtslng Blectrlclan 'g gee. trBrr
D.
200 amps'or less
-
201 amps to 400 aDPs .-
Over 401 to 60O aTP:--
Over 600 amPs oE'1000 volt
Branch Clrcults
Tvo to ten Clrcults
Each Addt'I ten or'
portlon thereof i
Ebove
nev, elteratlon or Extenslon Per Panel
$ 35too
$ 5o.gp*L
. . $ 15.00
#
' The lnstallatlon Is belng made on
oropertY f o"ln-vnf"n f" not lntended
i;;-sarl, lease or rent
HlsceU.aneous (Servlce/feeder not lncludec'-ilil-t;;i.rr"iron ^ ^l
ilt*t;lii::iilttrng- t 33:33 =Slgna1 Clrcult or-iirriea 'energy paner-:- $ 36'00 .
-
E
Omers Slgnalure:
DATEI
STIBTOTAL OT ABOVE
5Z State Sureharge '
TOTAL
T
RECEIVBD
5
@'t