HomeMy WebLinkAboutPermit Electrical 1992-10-12%
225 FIFTII STRBEf,
SPRINGTTEIJ, oREGON 97477
fNSPBCTI0N RBQIBST. 726-3769
t-] r)? )Lt+t Do 'oi
PERHIT APPLICATION
Ci ty Job Nusrber
COHPLETB IIEE SCTIEDULE BELOII
A. Nev Resi al-Single or
HuIti-FamiIy per dvelling unit.
Service fncluded:
I tems Cos t
s 8s.00
$ 1s.00
$ 40.00
OFFTCE: 726-3759
1 LOCATION OP INSTALIJ\TION)15L A,<"Ji^'rDrS
I,EGAL DESCRIPTION
Sum
UU
Permits are non-transferable and expire
if vork is not started vlthin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI^,ATION ONLY
Electrical Contractor
e-kL
Address 1lb S. S nt-4-SL
ptrone -JVl .J038
1.000 sq. f t. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf 'd llome or
Hodular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Sar,- Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/vo1ts
Reconnect 0niy
c
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
JOB
,rA
cit
s 50.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
4oo
) -3S]s-f s
Expiration Date
Supervisor License Ndmber ?.f aS 5
lDllqz,
Constr Contr. Number 1')
Expiration Date lo
Signature of ising Blectrician
rs Name L^Vr*-,^N,
Address )_)q L \l l-\/ t P tr )[nzrr'r,nl ,
Ci ty aaL!,1 Phone 1+b -.}8ls--rr-
OIINER INSTALI,ATION
The installatlon is being made on
property I own which is not intended
for sale, Iease or rent.
0vners Signature:
DATE:.)o
*:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see "8" above
D. Branch Circuits
E
Nev, Alteration or Extension Per Panel
onecircuit I $35.00'15-QO
Each Additional
Circuit or vith Service
or Feeder Permi t J $ 2. 00 a .OA
Hiscellaneous (Service/feeder not included)
-Each installation
Prrmp or irrigation
sign/outline Lighting-
Limi ted Energy/Res
Limited Energy/Comm
00
00
00
00
$40
$40
s20
$36
5
OREGO'UCIrY OF
RECEIVED BY: