HomeMy WebLinkAboutPermit Electrical 1995-04-24225 Yl'frg' STREEf,
SPRTNGTIBLD, 0REGoN 97
II|STECTION SEQUESI: 7
OFEICE: 726-3759
The lollr.lwing Pl'oiect a9 submitted has lhe following
zonrng, and d<itls ttot
apprwal.
iequire sPecific land uso
477
Authodzed L)
1. IOCATION OP -u A.
3 an
JOB DES(RTPTION
Pernlts are non-transferable and
I f vork ls not star ted vlthtn 180
.of lssuairce or lf vork ls suspended r
'180 daYs.
2. CONItsACToR INSTALI,ATION ONLY
Electrlcal Contractor
tddress 5'Q 3
City
Supervisor Llcense Number W)DS S
Explration Date /O c.
Constr Contr. Number
SPFIInrGFIELO
BIACT",ICAL PERHIT APPLICATION
Ci ty Job Nunber
SCffiDTII,E BEI,OS
Nev Resldential-Sir
HuIti-FamlIY Per d
Serviee Included:
ngle or
velling uni t.
Cos t
$ 8s.00
$ 1s.00
$ 40.00
1000 sq.ft. or }ess
nach additional 500
sq. ft or Portion
thereof
Each Hanuf'd Home or
llodular Dvel}ing
Servlee or Feeder
Items Sum
a55F
Services or Feeders
Insta1lation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amPs
401 amPs to 600 amps
-
601 amps to 1000 lmPs-
Over 1000 amPs/volts
-
Reconnect 0n1Y
Temoorary Services or'Feeders
i;;'t;ir"ilon, Arteratlon or Rerocation
200 amps or less
ioi ffi; io aoo amPs
-0ver 401 to 600 amPs -
0ver 600 amps or 1000 volts
Expi'ratlon Date
Slgna ture of SuPervlsing trlclan
Owners
Address
Clty Phone
B
$ 50.00
$ 60.00
$100.00
$13o.oo
$300.00
$ 4C.00
t
D. Branch Clrcuits
New, Alteratlon or Extension Per Panel
$ 40.00
$ 55.00
$ 80.00
see rlBr
OITNBR $STALI,ATION
The. lnstal}atloh is beirig made.on
;;;p;;,i-i-o"n vhlch ls not intended
for- sale, lease or rent
Olners Slgnature3 ': .,, , ... '
B
g 35.00 1frD
$ 2.00
Hlscellaneous (Servlce/feeder not included)
One Circult /
niin-eaJiiionat' Circuit or vfth Service
or Feeder Pe.rmi t
--Each lnstallation
Puinp or lrrigation
sls;/outllnb ulghtlng .
Lfunited EnergY/Res
$
$
$
$
40
40
,20
36
00
00
00
o0
DATE:
5. STIBTOTAL OT ABOVE
sl'State Surcharge
+iob Adtnrn lt-<-.RECEIVBD
,0"6
zonins-UDIA;
IJGAL
Phone M /7df
'-7 nv ZZ