HomeMy WebLinkAboutPermit Electrical 1991-01-03CTTT OF
i!):
225 tLHtu smEEr
SPRTNGPIBLD, oRBGoN 97477
INSPBCII0N RBOIIEST: 726-3769
OPPTCE: 726-3759
1.. LOCATION OF INSTALIATI,ON9oaL)
DESCRTPTION to)
JOD DBSCRIPTION
Permits are non-transferable explreif vork ls not started ulthin 180 daysof issuance or lf vork is.suspen{ed for
180 days.
2. COIiTRAGTOR INSTALIATION ONLY
Electrlcal Contract
Address
cit Jlr.J-<t 9^ 6 Phon"5$.l3 - /L8l_
,rp"rur*r I cense Number L lQS S:
Expiratlon Date lut "3
of Supervislng Blectrlclan
SPFlr .FIELi)
EIJCIRICAL PBR}fiT APPIJCATION
Ctty Job Nunber
3. COHPI.ETB TBB SCBEDT'I^B BELOS
A
B
Nev Resldential-Slng1e orl{ultl-Famlly per dvelllng unlt.
Servlce Included!
ftems Cost
%
00og
7
Each addltlonal 500
sQ. ft or portionthereof g 15.00
Each ilanuf,d Home or
Hodular Dvelllng
Service or Feeder $ 35.00
Servlces or Feeders (10 Branch Cireultslncluded). Installation, Alteratlons
or.Relocatlon:
$rs
$60
$eo
s130
$300
$gs
Sum
aE6F
100 amps or less
101 anrps to 400 amps -f
401 amps to 600 anps
-601 anrps to 1000 amps
Over 1000 amps/volts
Reeonnect 0nly
00
00
00
00
00
00
@
C. Temporary Servlces or Feeders' Installatlon, Alteratlon or Relocatlon
201 amps to 400 anps
-
S 4o.o0
0ver 401 to'600 amps
-
S B0.OO
0ver 600 amps or fOOOT6fis see rBx
L vt-C.-.-
0vners Name
Address /-3/b ,,*fr I
Ci ty shone )c/b (oB
OUNER INSTALIATION
The installation ls belng made onproperty ,I ovn whlch ls not lntendedfor sa1e, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
D. Branch Clrcults
Nev, Alteratlon or Extenslon per panel
One Circult
Tvo to ten Circuits
Each Addtrl ten orportlon thereof s 1s.00
35.00
s0.00
aE
,/^ I o<S
$
$
E.Hiseellaneous (Service/feedir not lncluded)
-Each installatlon
Pump or irrlgatlon S 36.00slgn/Outline Lighttns- S 36.00Signa1 Circult orIimlted energy panel_ S 36.00
5. STIBTOTAL OP ABOVE
5Z Stite Surcharge
TOTAL
(ocS n
RECEIVED
Constr Contr. Number -trO4G C
Explration Date /O- | - 9 /