HomeMy WebLinkAboutPermit Electrical 1997-08-04OREGONCITY OF
,follovring prc
rng. and dceo -l
SPRI]{GFIELE'
BLE TRICAL PERHIT APPLICATION.l
225
77 Zoni
6-3298
1 ON
oTio
JOB DESCRITTION
r,
Permits are non-transferable and expire
if vork is not started vithin 180 days
"i i"trrr"" o. if vork is susPended for
180 days.
2. CO}ITRACTOR INSTALLATION ONLY
Electrical Contractor $on i t ro I Secur i ty
Address P.O . Box 21009
Ci ty Eu ene Phone 46 1 - 5678
{c-
Supervisor License Number '$trO EET
Expirati,on Date t0 * /-q q
Constr Cont r. Number 65149
Expiration Date 7-2OOO
Signature of sing Electrician
Ci ty .lob Nurnber 7
COT{PLETE FEE SCMDIIIJ BELOV
A Nev Residential-S ingle or
Multi-FamilY Per dvelling unit'
Service Included:
I tems Cos t
$ 8s.00
$ 1s.00
$ 40.00
$ 2.00
s 40.00
s 40.00
s 20.00
s 36.00
Sum
L000 sq.ft. or fess
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
c
D.
200 amps or lessiof .ri," to 400 amPs
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
0ver l-000 amPs/volts
-
Reconnect 0n1Y
TemporarY Services or Feeders
Insiallaiion, Alteration or Relocation
200 amps or lessioi .*b" to 4Oo amPs
-0ver 401 to 600 amPs
Over 600 amPS or 1000 voTts
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
MiscelLaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting_-
Limited EnergY/Res
-
Limi ted EnergY/Comm I w
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
3@ i'3j-so
$ s0.00
$ 60.00
s100.00
$130. 00
$300.00
$ 40.00
above
$ 40.00
s ss.00
$ 80.00
see ItBrr
*hn,il*Ovners Name
Address /2
Ci ty Phone
OYNER INSTALLATION
The install-ation is being made on
piop"tty I ovn vhich is not intended
for sale. lease or rent'
Owners Signature:
E
5
DATE:
RECEI
RECETVED -;og? K?g
lJ.
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