HomeMy WebLinkAboutPermit Electrical 1993-10-19OBEGO'UTY OF
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ELECTRICAL PERHIT APPLICATION
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225 YTIrfB STRBET APPTO'I,
SPRTNGFTEID, ORBGoN 97 477
INSPBCTION REQUESTz 726-3
OFPICE 726-3759 Dala
1
a n-t
6.-)o-Q )City Job Number
A. Nev Residential-Single or
MuIti-Family per dwelling unit.
Service Included:
I tems Cos t
,t.
l()
Aurhori:ed Signature '.-,1. 1- C0HP' -TR PEE SCBEDULE BELoU
OP INSTALTATION -')
I
JOB DBSCRIPTION
Alqrrn Tru<tar(,t{lap 4T+-T yoco
permits are non-transferable and expire
if vork is not started vithin 1B0 days
of lssuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI^ATTON ONLY
Electrical Contractor
Address qL.l S GArF?c\d
Citye Ur,er,lf Phon \ZIH&-AD
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Hodular DveIIing
Servlce or Feeder
s 8s.00
s 1s.00
$ 40.00
C. Temporary Services or Feeders
InstaIIation, Alteration or Relocation
__l-
00
00
00
00
00
00
50
60
100
130
300
40
B. Services or FeedersInstaIIation, Alterations
LtOr',{r Re}ocation:
I
200 amps or less S201 amps to 400 amps
-
S
401 amps to 600 amps
-
$
601 amps to 1000 amps- $
Over 1000 amps/volts
-
$
Reconnect Only $
Supervisor License Number l2[.r.fLE
Expiration Date I D/orf Q 6
Constr Contr. Nunber
Expiration Date
:
Si t ure of Supervising Electrician
L
Ovners
Address
OVNER INSTALI,ATION
The. installation is beirig made on
property I ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
DATE:
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps
-Over 600 amps or 1000ToITs
s 40.00
s ss.00
$ 80.00
see rrBrr aSove-
b D. Branch Circuits
'Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Ci rcui t or vi th Servi ceor Feeder Permi t $ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/OutIine Lighting- _ S 40.00
Limi ted Energy/Re s -'-7 $ 20.00 ==-Limited Energy/Comm S 36.00
z.-0. o o
'rsler
D
SUBTOTAL OP ABOVE
5Z State Sureharge
TOTAL
RECEIVED
14 Ocr 3
5
l-0