HomeMy WebLinkAboutPermit Electrical 1991-03-06O
1
225 FIPTB STREET
SPRTNGFIBLD, ORBGON 97 477
INSPBCTION RBQITBSTI 726-3769
OFPICB: 726-3759
Permlts are non-transferable and expirelf vork ls not started vj.thin 1B0 daysof lssuance or lf vork ls suspended for
180 days.
2. COIfTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ct ty Job Number
3. COHPI,BTB TEB SCIIBDUI.E BELOY
A, Nev Residential-Sing1e or
Hulti-Famlly per dvelling unlt.
Service Included:
Items Cost
B.
1500 sq.ft. or less
Bach additlonal 500
sq. ft or portion
thereof
Bach Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ gs.oo
Services or Feeders (10 Branch Circuits
included). Installation, Alteratlons
or Relocation:
CI ty
Address
Phone
$ 3s.00
$ 60.00
$ e0.00
$130.00
$300.00
$ 3s.00
Sum
Sove
Supervlsor License Number
Expiratlon Date
Constr Contr. Nuriber
Explratlon Date It
Slgnature of Supervising Blectrician
DL-I/vL),fu
Oruners Name
Temporary Services or Feeders
Installation, Alteratlon or Relocatlon
L00 amps or less
1.01 amps to 400 amps --f
401 amps to 600 amps
.------.--
60L amps to 1000 amps-
0ver 1000 amps/volts
Reconnect 0nly
I
Tort
C
200 amps or less $ lS.
20L amps to 400 amps
-
$ 40.
over 4oL to 600 amps
-
$ so.
Over 600 amps or 1000 volts see rr
00
00
0o
Brl a
00
00
35.
50CiPhone
OVNER INSTALIJ\TION
The installation ls being.made onproperty I own vhich is not lntendedfor sale, lease or rent.
Oyners Signature:
DATE:
D. Branch Circuits
New, Alteratlon or Extenslon Per Panel
One Circuit
Two to ten Clrcults
Each Addtrl ten orportion thereof s 1s.00
Miseellaneous (Servlce/feeder not lncluded)
-Each installation
Pump or irrigation g 36.00sign,/outline Lighting- $ 36.00Slgnal Circuit orlimited energy panel_ $ 36.00
srmT0TAL 0r m0uB
rrlb-4art $
$
B
RBCETVED
*
5
5X State Surcharge
TOTAL
oc
5- r;FTELr)
BTJCTRICAL PERHIT APPLICATION