HomeMy WebLinkAboutPermit Electrical 1991-09-12C'TY OFSPR
225 PIFTE STREET
SPRINGFIEI,D, ORBGON 97477
INSPECTION REQITBSTz 726-3769
OFFICE: 726-3759
%
200 amps or less "r"201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect 0n1y
1. LOCATION OT INSTtq=o N
IJGAL DESCRIPTIONI-]o3 as a3 - o)30c
DESCRI
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTALI.ATION ONLY
Electrical Contractor lL)lt8cur.,rl) ? oo C
Address Q aS :\AL,)**L Ane-
city Q-r.- Q1sot Phone /+gS 3 t}q
sup"r, l.orCr, ""n"" Ntimber t ,x S
Expiration oate J6:1 9e
Constr Contr. Number SrLnO
Expiration Date | -sz -q-t
ELECTRICAL PER}IIT APPLICATION
Ci ty Job Nuurber
COHPIJTE FEE SCEEDULE BELOV
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portionthereof S 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder S 40.00
Services or Feeders
Installation, Alterations or
Relocation:
ALLATION
l= tl"J
3
A
B
Sum
50.<t6$ s0.00
$ 60.00
$100.00
$130.00
s300. 00
$ 40.00
ture lcran
rs Name Qla;.^, Arr&o*
C. Temporary Serviees or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.00
200 amps or less S 40.00
Over 401 to 600 amps _ S 80.00
Over 500 amps or 1000 volts see "Btr above
wress\ qso i<
Ci ty Phone
OVNER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t
STETOTAL OF ABOVE
5Z State Surcharge
TOTAL
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lighting_ S
Limi ted Energy/Res _ S
Limited Energy/Comm S
E
5
$ 2.00
not included)
40. 00
40. oo
20. oo
RECEIVED BY:
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