HomeMy WebLinkAboutPermit Electrical 1992-08-25C'TY OF ONEGO'U
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PERHIT APPLICATION
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Eroject es subrnproi,€J.requr.re
225 FTFTB STRBEf,
SPRINGFIEID, ORBGON 97477
INSPECTI0N RBQUBST: 726-37
oFFICE: 726-3759
1
ON
JOB
Permits are non-transferable and expirelf vork is not started withln 180 daysof issuance or if vork is suspended for
180 days.
2. COI.ITRACTOR INSTALI.ATION ONLY
Electrical Contractor ) ''-t l:lt:tlt: I ,-
Address qq<q w 0u,n.,.n;*.
Ci ty f,la,[lA Phone cl4t )C f,
Supervisor License Number 3(GJ S
Expiration Date (<: -ti'L
constr contr. Number 5) )k-
Expiration Date "']
Signa of Supervising Electri cian
A*"-"1t
City Job Number
PEE SCBEDULE BELOV
A. Nev Resid en Sing1e or
HuIti-Family per dwelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
69 t'
onl,qer t?
LOCATION OT INSTALLATION
Sum
0vners Name
Address lo )t 'tl zoil'
Ci I pr"re{;.Ll Phone
OTINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
0vners Signature:
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "8" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
Services or Feeders
Installation, Alterations or
Relocat ion:
i
200 amps or less L201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/vo1ts
Reconnect 0nly
STETOTAL OP ABOVE
5Z State Surcharge
TOTAL
B
/)
I.t
L/
c/J
$
s
s
$
s
$
00
00
00
00
00
00
50 F),
60.
100.
130.
300.
40.
c
-Each installation
Pr.rmp or irrigation $
Sign/0utIine Lighting_ $
Limi ted Energy/Res $
Limited Energy/Comm $
40.00
40.00
20. 00
36.00
5 OrO C)
DATE:
RECEI
L>
RECEIVED
+57"50