HomeMy WebLinkAboutPermit Electrical 2000-09-20CITY OF OREGO'U
SFIELE,
The lollowing proiect as submitted has the tollo-uring
;H;;;;'i;Ji not require speciric land use
lL PERI{IT APPLICATION0 -6D
Job Nunber@-Ott{t':C(
3. COHPI,SIE FEE SCEEDTILE BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost,ON oG(ao
JOB
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Elect rical Contractor
Address
Ci ty Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Ovners Nane P4rp C AQU O
Address tl2'1 0
Ci e )7, Phon. ,d) -?n7-/7/
OVNER INSTALLATION
The installation is being made on
property I ovn r.rhich is not intended
for sale, Iease or rent.
Ome
O?ZOO O
approval
Zoning225 FITTE STREET
SPRINGFIEI.,D OREGON 9
INSPECTION REQTIBST:
oFPICE: 726-3759
1 OF r
2
Signature
€a€ 'A
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
' v5'( $ gs.oo
s 1s.00
$ 40.00
$3s
B
c.
D
200 amps or less $ 50.00 ,
ioi i*i,= to 4oo amps
-
S 60-00
over 1b00 amps/vo1ts
-
$300.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less $ 40.00
,oi ;d" to 4oo amps
-
S ss-oo
over 4b1 to 600 ambs
-
-S 80.00
Over 600 amps or fbOO voITs see uBu a56Tf
Branch Circui ts . .-
Nev, Alteration or Extension Per Panel
2$
00
00
00
0g
00i
40
40
20
36
DATE:
REffiTRECETVEDBm
E Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lightirg-
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% state Surcharge
3Z Administrative Fee
TOTAL
s
$
$
$
l:, ,rBT>J>-12.rc*€--." {+
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