HomeMy WebLinkAboutPermit Electrical 1997-11-25OREGO'VCITY OF
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s s0.00
s 60.00
s 100. 00
s130.00
$300.00
$ 40.00
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$ 3s.00
s 2.00
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225 FTYTE STREET
SPRINGFTEID, OREGON 97 417
INSPECTION REQIIEST: 726-3769
OFFICE: 726-3759
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].. TOCATION OF INSTALI.,ATION
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0110 0
JOB DESCRIPTION
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
1B0 days.
2. CONTRACTOR INSTATLATION ONLY
Electrical Contracto , 6 /"-,/trl..-t
Address i 7 tS Fur ,4o /o* /<J
Phone l(b-'2Lt72-
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
InstalIation, Alterations
or Relocation:
t\\g
A
Sum
B.
200 amps or 1
20i. amps to 4
401 amps to 6
601 amps to L
Over 1000 amp
Reconnect 0n1
ess i
00 amps
00 amps
000 amps_
,s /vo1t s
v
Ci ty ,<._
Supervisor License Number s5 s
Expiration Date //-7s
Constr Contr. Number 75s
Expiration Date 2A
Signat of Supervising Electrician
0vners Name ./-
Address ?t 20 lrUt"rs
Phone 4f
C.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps _
Over 40L to 600 amPs
Over 600 amps or 1000lofts
D. Branch Circuits
Nev, Alteration or Extension Per Panel
s40
$ss
$Bo
see
s
s
$
s
00
00
00
00
D
40.
40.
20.
36.
l,u
Ci ty T
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t /200
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Outline Lighting-
Limi ted Energy/Res _Limited Energy/Comm
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAI
5
RECEIVED B
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