HomeMy WebLinkAboutPermit Electrical 1990-11-28qryoF
225 RTYTN STREET
SPRINGEELD, 0R8G0N 97477
INSPBGTION RBQUEST: 226-3769
O?PIC;Et 726-3759
I LOCATION OT rq
IJGAL DESCRTPTION
%,
SPFll} IELO
One Clrcult
Tvo to ten Circuits
Each Addtrl ten orportlon thereof
EI.ECTRTCAL PBRXTT LICATTON
Clty Job Nunber
,
/7 \.
3. COHPI,SIB rEB SCIIEDUIA BBLOS
A. Nev Resldential-Single orHultl-Famlly per dvelllng unlt.. Servlce Included:
ftems Cost Sum
JOB
Address rt",. /
1500 sq.ft. or less
Each addltlonal 500
Sg. ft or portion
thereof
Each Hanufrd Home or
-Hodular DveIIing
Servlce or Feeder
$ 8s.00
s 1s.00
$ 3s.00
s 1s.00
Permits are non-transferable and explrelf vork is not started vlthin 180 diysof lssuance or if vork is. suspendea for180 days.
2' c0lllRAcf,oR rNsrALIATroN oNLr B. Servlces or Feeders (10 Branch crrcurts
^t^_ trj L tneluded). Installation, AlterattonsElectrical Contractor tq,t_...=." (,., i -i . o"li"fo""tion:
Ct ty l)a / /.-<''i I l*Phone {c-Yo {t
s 3s.00
s 60.00
$ 90.00
s130.00
$300.00
$ 3s.00
@o
Supervlsor Ll'cense Number :; .;,,.(,
Expiratlon Date_ i; t - ',) t
Sonstr Contr. Number i.
Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocation
201 amps to 400 anps
-
S ao.ooOver 401 to.600 amps
-
S g0.OO
0ver 600 amps or.rbooE'IEs """-;i; aE6F
Branch Clrcults
Nev, Alteratlon or Extenslon per panel
Jrou f
c
D.
o
ixplration Date 5
ilgnature of Supervlslng BlectrlclanilLu,.(, ----(.
vners Name i.-t .- . ,\ ._
ddress ,U /C fA
Phone
OgNER INS-TALIATTON
re installation is belng made on'operty I ovn vhlch is not lntendedrE S?I€r lease or rent.
ners Signature:
TB:
:EIPT
Hiscellaneous (Servlce/feedtir not lncluded)
-Each lnstallatlon
Pump or irrlgatlon S 36.00Stgn/outline.Ltghttns- S 36.00Signa1 Circult orlimited energy panel_ S 36.00
s
s
35
50
oo
00
5 SIIBTOTAL OP AI}OVE
5Z Stite Sureharge
TOTAL
]EIVBD BY:
0 ,oo
{q ,d
100 amps or less
101 amps to 400 anrps T401 amps to 600 amps
-601 amps to 1000 amps
Over 1000 amps/voltl
Reconnect Only
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