HomeMy WebLinkAboutPermit Electrical 1994-12-20C/,TY OF
225 PTYTE SIREET
SPRTNGFIBII)
INSPECtrION RBOTIEST:
t ORBGON 97477 l? -2a4'*
I726-3769
OFFICB: 726-3759
SPfiIrrGFtELO
!2{-EI,BCTRTCAL PERHIT APPI,JCATION
City Job Nunber
PEB SCEBDTII^E BELOS
Zonirtg-
1.OF
JOB
Address P,O, .ASX ///
ci wn<rtt
Supervisor Licen-se Number
'e?o
s
Expiration Date /o -/-fs
' Constr Contr. Numbe r 6laei
i'ration Date - t3 -16
Signa of ing Electrician
Owne rs Name
Ci ty Phone ?" f7
OITNER
Nev Residential-Single or
HuIti-FamilY Per dvelling unit'
Service Included:Items Cost
A
Sum
s s0.00
$ 60.00
$10o. oo
$130.00
$3o0. oo
$ 40.00
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps or less $ 40'00
over 4b1 to 6oo amps I $ 8o.oo
0ver 600 amps or rbOOETts see "Bu a66JF
Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit </ g 3s.oo Zf
Each Additional
Circuit or vith Service-
or Feeder pli,li,"=' ' 'Z $ 2 . oo /A' - "
E. Miscellaneous (Service/feeder not included)
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Servlce or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
-
401 amps to 600 amps
-
601 amps to 1000 amps-
0ver 1000 amPs/volts
-
Reconnect OnlY
SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
$ Bs.oo
$ 1s.00
$ 40.00
permits are non-transferable and expire
ii vortc is not started vithin 180 days
;i i;;il"" ot lf vork ls susPended for
180 days.
2. CONTSACTOR INSTALI,ATION ONLY
Erectrical con t rac 1or/'l c kb.tue t(loc d4
B
D.
c
Exp
i
The installation is being made on
pioperty I ovn vhich is not intended
for sale, lease or rent.
Ovners Siguature:
-Each installation
Pump or irrigation $
Sign/OutIine Lighting- -t iilited Energy/Res
-
$
Limited Ener[y/Comm
-
$
40.00
40.00
20.00
36.00
DATE:
?,*
r
RBCBIVED
5
a "6
I,EGAL DESCRIPTION/i^az- 7 '? ?, aA- ',
t req!
eaaress 7?? o Wfr4r{rrf