HomeMy WebLinkAboutPermit Electrical 1992-08-21appi .::..': -.lhe
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PERHIT APPLICATION225 FIFTE STREEf,
SPRINGFIBU), OREGoN 97477
INSPECf,ION RBQIIBST: 726-3
OFFICE: 726-3759
769 ty Job Number ctTtll I
t
JOB
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0ts are non-transferable and expl re
lf vork ls not started vlthln 180 days
of lssuance or if vork is suspended for
180 days.
rBE SCEBDULE BELOS
A. Nev Resldential-Single or
Multl-Famlly per dvelllng unlt.
Servlce Included:Items Cost
1000 sq.ft. or Iess
Each addltlonaL 500
sg. ft or portion
thereof
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ 8s.oo
', o'?'B[g: 1ox1,,,I* "aLLArr
oN
2. CO}NRA TOR INSTALI,ATION ONLI
Erectricar ro",r"","ri- e" bl P*h*,
Sum
ci
Supervisor License Ndmber
t0lt lqa
Phone J *1,rlozy
Services or Feeders
Installation, Alterations or
Relocatlon:
I
One Circuit I
Each Additional
Circuit or with Service
or Feeder Permit
Miscellaneous ( Service/feeder
-Each installation
Pump or irrigation
-
$
Sign/Outline Lighting- $
Limited Energy/Res _ $
Limited Energy/Comm $
STETOTAL OF ABOVB
5Z State Surcharge
TOTAL
$ 1s.00
$ 40.00
$ rs. oo 32,M
S 2.oo
not included)
40.00
20.00
36.00
#aa1o
B.
htc,
Addres [d,l..,5 K 200 amps or less
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect On1y
C. Temporary Services or Feeders
Installatlon, Alteration or Relocation
lt
14',135
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date.
Constr Contr. Number Tbql
Expiration Date l)200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
0ver 600 amps or 1000 volts see rrBrr above
I
I Signa of Supervislng Electrician
0wners
Address aA1 5
Ci ty 5v+1,0 pnonJ2b- 31bl
OIINER INSTATLATION
The installation is being made on
property I own vhich ls not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECBIPT
D. Branch Circuits
Nev, Alteration or Extension Per Panel
E.
OO35
RECEI1IED B
OREGO'VCITY OF
5
Nobhwg tr
has
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