HomeMy WebLinkAboutPermit Electrical 1999-01-04SP^GFIELO
adopted
Notification Center
ilrfiT n
T SHALL EXPIRE IFTHE wpfi[s
10 th
forth
rough OAB 952-001-
calling the'ce
copies of the rules by
D. Branch Circuits
or Feeder Permit
SUBTOTAL OF ABOVE
52 State Surcharge
32 Administrative Fee
TOTAL
eO APPLICATION
o
FEE SCffiDTILE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome- or
Modular Dwelling
Service or Feeder
$ 8s.00
$ 1s.00
s 40.00
B. Services or Feeders
tallation, Alterations
or Relocation:
200 amps or less I
20i. amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnIY
225
,
INSPECTION
OFFICE: 726-3759
1 OF
DESCRTPTION
T 'q
3
A
3r )>-olbq Sum
JOB DESC,PJPTION
Permits are non-transferabl e and exp
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI..ATION ONIY
t
Electrical Contractor
eddress ?
Phone Q1+'7 c(
$ s0.00
s 60.00
$100. 00
-=
s130.00
s300.00s 40.00Supervisor License Number
Exoiration Date
Constr Contr. Number 0 O 76h 3t
Expiration Date
Signature of Supervising Electrician
Ovners Name
Address
c.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
201 amps to 400 amps
-Over 401 to 600 amPs
Over 600 amps or fbOO voTt
$ 40.
$ ss.
$ 80.'s see tt B" a56T6-
00
00
00
Ci ty
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Alteration or Extension Per Panel
Ci rcui t $ 3s.00
Additional
cuit or vith Se rvice*$ 2.00 r
E. Miscellaneous (Service/feeder not included)
?74'78t
Ovners S t
-Each installation
Pump or irrigation -
$
sign/outline Lighting- q
LiilitedEnergy/Res -
-
$
40.00
40.00
20.00
36.00
5
DATE:
OREGQNCITY OF
RECEIVED
.\1
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LOCATIONi0gn