HomeMy WebLinkAboutPermit Electrical 1996-01-10C'TY OF OFEGO'"
225 PIFTE STRBBT
SPRTNGPTBID, ORBGoN 97477
INSPB TION REQT'EST.. 726_3769
PERHIT APPLICATION
City Job Nurnber
COHPLETB FEB SCBBDUIJ BBLOU
Nev Residential-Single or
Multi-Family per dwelling 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
$ 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or ReLocation:
C. Temporary Services or'Feeders
Installation, Alteratlon or Reloca
SP. .GFIELE,
B. Hiscellaneous (Serv
-Each installation
Pump or irrigation
Sign/0ut1ine Lighti
Limited Energy/Res
Limi ted Energy/Comm
5. SUBTOTAL OP ADOVB
5Z State Surcharge
TOTAL
m
q
OPPICE: 726-3759
1.OP INSTALIATIOHUthoTtz€d
JOB DBSSRIPTIONF*ss C-t r\€
Permits are non-transferable and expire
if vork is not started vithin 180 days
of lssuance or lf vork ls suspended for
180 days.
2. COMRACTOR INSTALI.,ATION ONLY
Electrical Contractor
AddressRx(\1\\
Ci ty bees phone
Jq
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect Only
rvisor License Number
ration Date /0- /-
_O(lo
Sum
Supe
Expi 7S
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
$ 40.00
rl
Consrr Contr. Number aO-ESC-
Exp iration Date
ture of Supervising Electrician
rs Name
Address
Ci ty Phone
OVNER ALI..ATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
200 amps or less $ 40.00
0ver 401 to 600 amps $ 80.00
0ver 600 amps or 1000 vofts see I'B'r aEffi
]ont
i
D. Branch Circuits
Nev, Alteration or Extension Per Panel
onecircuit I $35.00
Each Additional
Circuit or vith Servicp
or Feeder Permit A $ 2.00
35
I
ice/feeder not included)
$ 40.00ng- S 40.00
s 20.00
$g 5.00
o0
RBCBIVBD \1-
DATE:
A.