HomeMy WebLinkAboutPermit Electrical 1993-02-16225 FIYYE STREET
SPRTNGPTEI^D, OREGON 97477
INSPECTI0N REQUBSTz 726-3769
oPPICE: 726-3759
1. LOCATION OP
SPFI, ,FIELE,
ELECTRICAL PERHIT APPLICATION
Ci ty Job Nunber
COHPI..ETE FEB SCMDI.,LE BELOS
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
i000 sq. ft. or less
.Each additional 500
sq. ft or portion
thereof
Each l"{anuf ' d Home cr
Modular Dwelling
Service or Feeder
S 85. CC
s 15.00
s 40.00
Services or Feeders
Installation, Alterations
or ReLocation:
qfr
bS No rzT+ Z
a-t6-ef i
.^ ., , 59:
A.
LEGAL DESCRIPTION
)7A>*z;2- /8 .)f) '2')-{)Sum
sU
50ve
JOB DESCRIPTION
permits are non-transferable and expire
if vork is not started vithin 180 dai's
of issuance or if vork is suspended for
180 days.
2. CONTRACf,OR INSTAII.ATION ONLY B.
Electri cal Contraclot LA^|TZ ELe CTPTCIN<
AddressSbzL <e o*E- rlt r e9
City Pte+<rq,.:.r +req Phone'?'zG oLg"l
Supervisor License Number 3 qcl 2-s
Expiration Date ?O ^t-qT
Expiration Date,-)^ t q-q \
Signature of Supervising Electrician
Ovners Name PaBe Str PPLV
Address Z *\2-Mal"r
Ci ty Phone
OSNER INSTALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
200 amps or less I
201 amps to 400 amps _
401 amps to 600 amPS _
601 amps to 1000 amps_
0ver 1000 amps/vo1ts
Reconnect 0n1y
$ s0.00
$ 60.00
s100. 00
s130.00
$300. 00
s 40.00
Constr Contr. Number *q L? zl
Temporary Services or Feeders
Installation, Alteration or Relocation
c.
200 amps
201 amps
Over 401
0ver 600
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi t
SUBTOTAL OF ABOYE
5Z State Surcharge
TOTAL
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation S
signzoutline Lighting- S
Limi ted Energy/Res $
Limi ted Energy/Comm $
s 40.00
$ 5s.oo
$ 80.00
see I'B'r aEwE-
s 3s.00
$ 2.00
not included )
40. 00
40.00
20. 00
or less
to 400 amps
-to 600 amps
amps or 1000 voITs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
5
--lDATE:
RECEIPT
RECEIVED
The followir
C,r-42
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