HomeMy WebLinkAboutPermit Electrical 1998-04-01SPfr. iFIE,LO
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225 FIFTE STREET
SPRTNGPTEU), oREGoN 97 477
INSPEGTION REQI Est3 726-3769
OFFICE: 726-3759
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Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALT,ATION O}TLT
Electrical contrac w lr//,ltop€rs HAf
Address +A> t,qtr-
Ci ty < lro Phone 2 4?- O (( (
Supervisor License Number 7 a ab-g
Signat fSu Electrician
Ovners Name
Ci ty
OgNER
The installation is being made on
property I ovn vhith is not intendedfor sale, lease or rent.
OvnersBSignature:
DATE:
PER\OD
City Job Nurnber
1Rr*AY
AI.IY
COHPI,ETE FEE SCEEDT'I,E BELOV
A. Nev Residential-Single or
APPLICATION
OB\S Q r ojrtr
HuIti-Fami
Service In
}y per dvelling unit.
cluded:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular.'Dve1ling'
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
$ 1s.00
$ 40.00
s 40.
40.00
55.00
80.oo
ee nBn aE66
Cos t
$ 8s.00
Sum
Exp iration Date /o -/-? r C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date L-s -qr
200 amps or less
201 amps to 400 amps
-401 amps to.600 amps _601 anfs to 1000 amps-
Over 1000 amps/volts
Reconnect OnIy
.B
D.
E
50
60
100
130
s
s
s
s
00
00
00
00
00
00
s300
Address 2(-'t TO,nUhaal{1-anr
{7-
200 amps'or less $
201 amps to 400 amps
-
$
over 401 to 600 amps
-
$
over 600 amps or 1000-liil[-ts s
Branch Circuits
-Each installation
Pump or irrigation
Sign/0utIine Lighting-
Limited Energy/Res
-Limited Energy/Comm
Nev, Alteration or Extension Per Panel
one circuit ( $ 3s.oo 3*
Each AdditionalCircuit or vith Service
or Feeder Permit _ $ 2.00
Hiscellaneous (Service/feeder not included)
s 40.00
s 40.00
$ 20.00
s 36.00
cd*3
RECETVED
5
INSTALIATION
s
Constr contr. Number Ol( 7 f
Ftnlnrt Phone