HomeMy WebLinkAboutPermit Electrical 1994-02-03CITY OF OREGO'U
225 TITTB ST?,EEf,
SPRINGFIBIJ)ORBGON 974
INSPECTION RBO[ BsTr 72
0FFICE: 726-3759
1. LOCATION OP INSTALIATION )$ete
Aulhorized
I r)
. JOB
HjPI$*ffilx:l"jpil[trucer.qo[,
sPRt,{G, ". .o
PERHIT APPLICATION
City Job Number,
SCBBDTILB BELOII
ial-Single or
I t i-Fami I y per dvelling unit.
Iuded:Items Cost
Service Inc
$ Bs.oo
s 1s.00
$ 40.00
300.00
40.00
o
COHPI.ETB FEE
A.
Sum
Permits are non-transferable and expire
lf vork is not started vithin 180 days
of lssuance or if vork ls suspended for
180 days.
2., COITIRACTOR INSTALIJ\TION ONLY
Electrical Contractor (,$.qS()oaf,r'rnr0'rrs
Address
ci pnone rltl.l -3A3 b
Supervisor cense Number tbsb qrl
Exp lration Date o -l-q5
Constr Contr. Number Dle 4 q
Expiration Date
Signa of Supervlsing Electrician
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Eaeh Manuf'd Home or
Hodular DveIIing
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
c.
200 amps or less
201 amfus to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0nIy
Temporary Services or Feeders
Installation, Alteration or Relocation
$
$
$
$
$
$
50.00
60.00
100.00
1 30 .00
$40
$s5
$80
see
200 amps or less
201 amps to 400 amps
-0ver 40L to 600 amps
0ver 600 amps or 1000ETIs
.00
.00
.00
rrB,, a[[iil
c D. Branch Circuits
-Each installation
Pump or irrigation
-
Sign/0utIlne Lightlng-
Limited Energy/Res
SUBTOTAL OT ABOVB
5Z State Surcharge
TOTAL
Nev, Alteration or Extension Per Panel
one Circuit i $ 3s.00 35.oo
Each Additional
Circuit or with Service
or Feeder Permi t | $ 2.00 l' ,oo
Miscellaneous (Service/feeder not included)
Owners Name
Address
clt
OIINBR
DATE:
Phone
The installatloh is belrig made on
property I own vhich is not intended
for sale, Iease or rent.
Ovners Signature:
E.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
51 ,oai.85
39, .85
RECEIVBD
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