HomeMy WebLinkAboutPermit Electrical 1993-08-05a rlC'TY OF '[NGF[EL4 OREGOTU
225 T'IF'TE STRBBT
sPRrNGPrBIr, OREGON 97477
INSPE(f,ION RBQUEST: 726-37
OPPIGB: 726-3759
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specific
PERHIT CATION
Job Number
PEE SCHBDIILB BELOII
A. Nev Residential ngle or
Items Cost Sum
$ 8s.00
$ 1s.00
$ 40.00
,BGAL DESCRIPTION
-transfera and expiis not started within 180 daysance or lf vork ls sus pended fors.
2. COI.ITRACTOR ONLY
Electrical Contract
Address /il t A./o,
Ci ty Phone
MuIti-Family per dvelling unit.Service Included:
,OB
Perm i tsif vorkof lssu,
180 day
Supervisor License Number
Explration Date
.ft. or lesstional 500
q.ft or portion
thereof
Each Hanufrd Home or
-
Hodular Dvelling
Servlce or Feeder
B. Services or Feeders
- fnstallation, Alterations
\L . or Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-0ver 1000 amps/volti
Reconnect Only
c
D.
B
*i-
$
$
$
$
7+
00
00
00
00
00
00
50.
60.
00.
30.
1
17/ {"- s'
/o - /- q 5
$300
$ao
Constr Contr. Number Temporary Services or'FeedersInstallation, Alteratlon or-Re1oca
200 amps or less
201. amps to 400 amps0ver 401 to 600 ampsOver 600 amps or 1b00
Branch Circuits
77r -onIt
iExpiration Date ,//; _q3
Slgnature o t Supervis Blerctrician
0yners Name
Add
Ci ty
Nev, Alteration or Extension per panel
One Circui t
Each Addi tionalCircuit or with Serviceor Feeder permi t
Miscellaneous (Service/feeder not included)-Each installaiion
s-vor[
s 40.00
$ ss.00
$ 80.00
see rBll "t--
The installation is being made onproperty f own vhich is ilot intendedfor sale, lease or rent.
Oyners Signature:
Pump or irrigation
!iSn/Ou tline Lighting-Limited Energy/ies e-
Limi ted Energy/Comm
$
$
$
$
s 3s.00
$ 2.oo
40
40
20
36
.00
.00
.00
.00
Dr-)DATE:
RBCBIVBD
5. SUBTOTAL OP ABOVE5f State Surcharge
TOTAL
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