HomeMy WebLinkAboutPermit Electrical 1993-07-2607,'00,'93 1l:ll 6;O1 710 3689 4lA Mt ertsyr.rt..
Lic .*\MtlSPFD DEl'. SER.@ oo:
225 YIYIB, STBEET
The follov,ring project as submitted has the fo,ng, and does not roquire specific land
rcval.
c
SFHIil(iFIELD
ETJGTRICAL PERI{IT ASPLICATION
$ 1s.00
$ 40.00
SPRTNGTTEI.D OREGOT{ 974 77 ;,
INSPEGII0I RE0UESI: 726-3769 z
OP?ICE: 726-3759
t.OF
JOB DESCRIPTION
rermits are non-transferabl-e and expirelf vork is not started vlthln 180 daysof lssuance or lf vork is suspended for
180 days
2. COIiTEACTOR IHSTALI,ATION OIILI
El.ectrlcal Contractor
Address
/o
Signature of Supenrl rician
Owners Name
Address
.)c o
City Job llunrber ct3 D8o
o,rref 'fuQ:gg
-3. coxPLBtE rtsE SGEEDTTLE BELOY
rized Sig
en lal-Single orHulti-Famlly per dvelllng unit.
Serviee Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sg. ft or portlon
thereof
Each hlanuf 'd Home or
-Hodular Dvelllng
Service or Feeder
$ 85.00
Sum
B. Services or Feedersfnstallation, Alterat ions
or Relocatlon:
city W<-tt< Phone 343- =i6S6
Supervlsor Llcens e Number -S-?- I -J /-E
ExP lration Date lo
constr contr ' Nunber b v-;u i
Expiration Date
Temporary Services or Feeders
Installatlon, Alteration or Relocation
200 amps or less $
201 amps to 400 amps
-
S
401 amps to 600 amps
-
$
601 amps to 1000 amps- $
Over 1000 amps/volts
-
$
Reconnect 0nty $
-Eaeh installation
Puinp or lrrigatlon
Slgn/Outline Ligh t ing-
.: Limited Energy/Res Jl-Llmited Energy/Comm -F-
00
.00
50
60
100.00
130.00
300.00
40.00
(
200 amps or less $ 40.00
201 amps to 400 amps
-
g 55.00
Over 401 to 600 amps
-
$ 80.00
Over 600 amps or 10008T[s see uBn affi
D. Branch Clrcuits
ci Phane J41, 74 l?
OIJUEN I}ISTAIJ.ATIOH
The lnstallatioir is belng made on
property I ovn uhlch is not intended
for sale, Iease or rent'
Omers Signature:
DAIE:
;dL
Nev, Alteration or Extension Per Panel
One Circult $ 35,00
Each Additional
Circult or vith Service
or Feeder Permit $ 2.00
E l{iseellaneous (Service/feeder not ineluded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
l,lry(fr5. SI'BTOTAL OF ABOVE5f State Surcharge
TOIAL
CITY OF OREGON
RBCEIVED