HomeMy WebLinkAboutPermit Electrical 1995-12-26C'TY OF
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225 EIFTE sltsEEf, r Dd' , \Z- '>b - Q)
SPRINGEIEID, oREGoN 97 477 ^,.h^,i"#tINSPEcf,IoN REQI Esf, z 726-5169*--
OPEICE: 726-3759
1. IOCATIoN 0P INSTIILII\TroN
IJGIIL DESCKTPTIOT \J
SPF'I'IGFIELO
oes not roquiro .'.
EI.EGIRICI\L PERIIIT
City Job Nunber
COHPLif,E EE SCBEDI'IJE BELOU
A.Nev Residential-Sing1e or
Hu}ti-Pamily per d"Eiiine unit. ;
Service Inc].uded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Dach Hanuf'd Home. or
HoduIar.'Dve).Iing
Service or Peeder
$ 85.00
$ 40.00
.8. Services or Feeders
Installation, Alterations
c
00
r. ':I ::
apilrov
Electrical Contracto rDarafec Cornnu uicariari or Relocat ion :
JOB
L A'Ftt ON
Permits Are non-t.ransferable and expire
lf vork is not started vithin'180 days
of issuance or ''if vork is suspended for
180 days.
2. CO}TTRACTOR INSTALIJTTION ONLI
city /li,lsboep phtone(soll 6?3-6311
Supervisor License Number zLOb SLE
Explration Date
Constr Contr. Number g6
Expiration Date
Signature of SuPervising Electri an
H
Ovners Name I e
Address 52-S l .-l I Srtrrr
Ci ty Jpn;ngrirlzl phone ?Z L.3L L<l
200 amps or less
20L amps to 400 amps
-
401 amps to.600 amps
-
601 amfs to'1000 amps-
over 1000 amps/vo1ts
Temporary Services or Feeders
Installalion, Alteration or Relocation
Sum
ee
40
55
80 ,affi
$
s
ST
$r
50
60
00
30
00
00
00
00
00
00
.00
.00
.rgr,
s300
$40
200 amps"or less S
201 amps to 400 amps
-
$
over 4b1 to 600 amps
-
$
Over 600 amps or 1000 volts s
Branch Circui tsD
5€u
The installation is being made on
property I ovn vhiih is not intended
for saLe, Iease or rent.
0mers Signature:
Nev, Alteration or Extension Per Pane1
One Circuit S 35.00
Eaclr Additional ; ,7Circuit or vith Service
or Feeder Permit
-
$ 2'00 I':'
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/OutIine Lighting-
Limi ted EnergY/Res
-
Limi ted EnergY/Comm I 3b00
SUBTOTAL OF ABOVB
52 State Surcharge
32 Administrative Fee
TOTAL
7b .oo,ao
E.
s ro.oo
s 40.00
$ 20.00
s 36.00
5
DATE:
DRECEIVED
OREGO'U
l, t4.?9.1 Ll
I
3.
$ 1s.00
Address /?OO NF ?6 rH Averld6 ,,
OVNER INSTALII\TION