HomeMy WebLinkAboutPermit Electrical 1991-11-08C'fY OF
225 FTTTE SlRBEf,
sPRrNcFrELD, ORBGON 97477
INSPBCTI0N RBQIBSTT 726-3769
0FFICE: 726-3759
t
IJGAL DESCRIPTION
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALI,ATION ONIY B
Electrical Contrac tor \r- s- gE E\-E-(.--
Address \n15 \\
ci 3pr=S Phone*\\1-^ES\3
Supervi sor License Ndmber 3\tO\ 5
Expiration Date.\c\\qa
Constr Contr. Number
Expiration Date
Signature of Supervi Blectrieian
Ovners
Address
Ci ty Phone
OVNER
DATE:
RECEIPT z02
SP'IIN(iFIEL()
BIJCTRICAL PEru{TT APPLICATION
City Job Nunber
3. COHPIJTE TEE SCEEDUI^E BELOS
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less I201 arnps to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
C. Temporary Serviees or Peeders
Installatlon, Alteration or Relocation
,
Sum
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
I
200 amps or less $ 40.00
201 anps to 400 amps _ $ 55.00
0ver 401 to 600 amps _ $ 80.00
Over 500 amps or 1000 volts see rrBrr above
D. Branch Circuits
New, Alteration or Extension Per PaneL
One Circui t
Each Additional
Circuit or vith Service
or Eeeder Permit
s 3s.00
$ 2.00 _
B. Hiscellaneous (Servlce/feeder not included)
-Each installation
Ptrmp or irrigation
Sign/OutIine Lightine_
Limited Energy/Res
Limited Energy/Comm _
STIBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
$
$
s
s
40
40
20
36
.00
.00
.00
.00N5
RECETVED
The lnstallation is being made on
property I ovn which is not intended
for sale, Iease or rent.
0vners Signature: