HomeMy WebLinkAboutPermit Electrical 1992-04-17ORECC'TY OF
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225 FIFTE STRBET
SPRINGFIEU), OREGON
INSPECf,ION RBQTIBST:
0PPICE: 726-3759
1
Permi ts are non-ferable and expirelf vork is not s ted within 180 daysof issuance or if vork is suspended for
180 days.
2, COI.ITRACTOR INSTALI.ATION ONLY
Electrical Con traclee \r--s-s:S
Address'S\C, \\N
citytFFD phone-\\\-},.>-F
Expiration Da te
Constr Contr. Number 'b.O5ae-
Expiration Date
Signature of Supervisl Electrician
Ovners
Addr
Ci Phone
OSNER ALI.ATION
The installation is being made on
property I own vhich is not intendedfor sale, lease or rent.
Ovners Signature:
DATE:
RECEIET *:
City Job Number
COHPIJTB PBE SCtrEDULB BBLOII
A. N,ev
B. Services or Feeders
Installation, Alterations or(-- Relocation:
tial-Single or
Hulti-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
-Hodular DveIIing
Service or Feeder $ 40.00
97477
6
Auhorbo
CATION
$100.00
$130.00
$300.00
$ 40.00
Sum
1,
c
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5tr State Surcharge
TOTAL
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps or less I201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nly
200 amps or less $
201 amps to 400 amps
-
$
0ver 401 to 600 amps _ $
Over 600 amps or 1000 volts s
One Ci,rcui t
Each Additional
Circuit or vith Service-.
or Feeder Permi t I ()
Hiscellaneous ( Service/feeder
-Each installation
Pump or irrigation $
Sign/Outtine Lighting- $
Limi ted Energy/Res _ S
$ s0.00
$ 60.00 50
a
00
00
ee ItBtr a6ove
not included)
40.00
40.00
g 2.oo&c
00
40
s5
80
D. Branch Circuits
Nev, Alteration or Extension Per Panel
E
RECEIVED BY:
$ 36.00
a3
Supervisor License Number 3\Cr\-5