HomeMy WebLinkAboutPermit Electrical 1998-06-09C:'r(sffr).
225 FIFTTT S?REET
sPRrNGFrEt,D, OREGON 9t477
INSPECTTON REQUESTI .'
OFPICE: "126-3759
Aurhoriz.d
1. LOCATION OIJ
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TION
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ETECTRTCAT PERHTT APPTICATTON
City Job Number q (oR7
DES
3. COUPTBTE TBB SCflBDULB BBLOV
A. Nev Residential-Single orMulti-Family per dv-lling unit.Service Included:
Items Cost Sum
Ci ty
JOB PTI
Permi
if vo
of is
180 d
2. CONI'RACTOR INSTALLATION ONLY
Electrical Contractor
Address Bgl
yttone @r-O?05
ts are non-transferable and expirerk is r-rot started vithin 180 days
suance or if vork is suspended for
ays.
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manuf,d Home or
-
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
$ 40.00
B Services or FeedersInstallation, Alterationsor Relocation:
200 amps
20L amps
401 amps
601 amps
Over 1000
Reconnec t
or less K
to 400 amps --to 600 amps
-to 1000 amps-
amps/voIts
-0n1y
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Service -or Feeder P"rri,"='"'3 g 2. oo /9
Miscellaneous (Service/feeder not inctuded)
-Each installation
Pump or irrigation _-.---Sign/0utline Lighting-
Limited Energy/Res _Limited Energy/Comm
106, ao
6. 30
$ s0.00
s 60.00
$100.00
$130.00
$300. 00
s 40.00
T
Supervisor License Number l5L8 3
Expiratiorr Date o
Constr Contr. Nurnber Stt*SI
Expiration Date
Signa t rvls 1 ctrician
o
Ovners Name
Address
ci ty-Phone
OVNER INSTALLATION
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-.
$ Bo.oo
0ver 600 amps or fOOO-IolTs see uB' a66TE-
The installation is be
proper ty I ovn wlii ch i
for sa1e, lease or ren
Ovners Signature:
Eing
SN
t.
made on
ot intended $ 40.00
$ 40.00
$ 20.00
$ 36.00
5 SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
DATE
RECEIVBD
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