HomeMy WebLinkAboutPermit Electrical 1992-12-30C'TV OREGO'V
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the {ollowing
225 FIFTE STRBET
SPRTNGFTBLD, OREGON 97477
INSPBcf,IoN REQUBSTz 726-37
0FPICE: 726-3759
Ci ty Phone
Supervisor License Nurnber
OF
Permits are non-transferable and expirelf r,rork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Electrical contract"@
Address LAL W, Stt- Are ,
City Job Number 1'1
5 3. COHPIJTB BEE SCEEDUI.E BELOS
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect only
-_l_Temporary Services or Feeders
Installation, Alteration or Relocation
above
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/OutIine Lighting
Limi ted Energy,/Res
Limited Energy/Comm
5. STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAL
BI.JCTRICAL PERHIT APPLICATION
$300.00
$ 40.00
6s LDR
i - t (.-'t;
A
Sum
Iv
AzbMt)
i:333- 5
s s0.00
$ 60.00
$100.00
$130.00
200 amps or less $ 40.00
201 amps to 400 amps
-
g 55.00
0ver 401 to 600 amps _ $ 80.00
Over 600 anps or 1000 volts see ,Brl
D. Branch Circuits
s 40.00
$ 40.00
$ 20.00
s 36.00
4a-T@
wExpiration Date \o-\ -15
constr contr. Number lOBrl
Expiration Date
F
OBNER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
c
Sigaature of Supervising Electrician
\"-q,r tJ;3b^
Owners Name
aaaress Or1[O0 &nsrata ,5t.Nev, Alteration or Extension Per Panel
citv &lOLru (aF. Bzqb
One Circuit S 35.00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
Phone
RECEIVED
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