HomeMy WebLinkAboutPermit Electrical 1993-09-27C'TY OF SPR OREGOTU
225 grHtg slRBEr ;:' -
SPRINGEIBIJT, OREGoN 97477
msrscf,rou iuQussr: 726-3J69o'#icg;--lzt-lhsg nr':'
ffls f all6r.r,!p6 nre!act as submitted hae the
,o.;-. '1,::, ,Jo,:inot require specific land
qr
5Pflr. -FIELO
iise
BIJCTRICAL PBRHIT APPLICATION
Ci ty Job Nunber
COHPLETE SCBBDTILE BELOU
A. Nev Resldential-Single or
MuIti-FamiIY Per dwelling unit.
Service Incltrded:
I tems Cos t
$ 8s.00
q -4a
A,iihorzod Signatu
1 LOCATION OP INSTALI,ATION JLci-)
^)
2,3nCL
UEGAL DESCRIPTION
JOB DESCRIPTION
Sum
e{ooA P+3
f /b/r.t o.;', ll)bx
ELH/:!i:eroca t ion:
200 amps or less \201 amps to 400 amps
401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
Reconnect 0niy
Temporary Services or Feeders
Installation, Alteratlon or Relocation
200 amps or less $ 40.00
201 amps to 4oo amps
-
S 55.00
over 4b1 to 6oo ambs
-
$ 8o.oo
0ver 600 amps or 1b00 voTrs see I'B'r a5ilE-
Branch Circults
Nev, Alteration or Extension Per Panel
1000 sq.ft. or less
Each addltional 500
sq. ft or portion
thereof
Each Hanuf 'd llome or
Hodular Dvelling
Servlce or Feeder
Services or Feeders
Installation, Alterations
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
't-rLA
Permits are non-transferable and expire
lf vork is not started vithln 180 days
oi t""u"nce or lf vork ls suspended for
180 days.
2. CO}TTAACTOR INSTALI,ATION ONLY
s 1s.00
$ 40.00
B
EIect rical Contractor
address 37 33 $ s0.00
s 60.00
s100.00
$130.00
s300. 0o
$ 40.00
-"
ci Er'+Phone ,*r
Supervisor License Number 2
Explration Date /b
Constr Contr. Number
Explratlon Date
,,J
r I ctr-l
of Supervlsing Blectrlclan
Owners Name
Address ';,nd
Ct ty Phone
DATB:
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permlt 3- $ 2.00 Uoo
Hiscellaneous (Service/feeder not included)
O9NER INSTALLATION
The. instaLlatloir is belrig made on
froperty I ovn vhlch is not intended
for sale, Iease or rent.
Osners Slgnature:
<-
>57-)c.
/l/ar
L D.
B
-Each installation
Pump or irrigation S
Sign/0utline Lighting- $
Limi ted Energy/Res _ S
40.00
40.00
20.00
36.00
SL. ooqQ.YO
RBCEIVED
5
SS?, EC/