HomeMy WebLinkAboutPermit Electrical 1992-01-16sr'lrrNGFrriLo
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225 FIFTE STRBEf,
SPRTNGFIEID, ORBGON 97477
INSPBCTI0N RBQUESTz 726-3769
oPPICE: 726-3759
BIJCTRICAL PERHTT APPLICATION
City Job Number 7-Zoo*
3. COHPI,ETE FBE SCBEDTILE BBLOS
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1.
IJGAL DESCRTPTION
6
Permits are non-transferable and expireif vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
2. COI|TRACf,OR INSTALI,ATION ONLY
Electrical Contractor
Address ?. O ,B * 7oP
Phone 4 ?.l-qqSS
Supervisor ticense Nrimber \ 5 i] B 5
Expiration n",. \ 0- 1Z
Constr Contr. Number /O 8 > f
Expiration Date t/st I qz
idential-Single or
amily per dvelling unit.
t"DOF
N)A N
B.
t LTtL)
I t i-F,
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
$ Bs.oo
$ 1s.00
$ 40.00
Sum
Services or !'eedersInstallationrr Alterations or
Reloeation:
"'
200 amps or less l-
Signature of Supervining ElectricianM
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect Only
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
0ver 600 amps or 1000 volts see rrBtr above
.CDsa$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
ovners nare JD ,4^^o V evv' rt D. Branch Circuits
Address
ci Phone 14(ry ID
OIINER INSTALI.ATION
The installation is being made on
property I own vhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE: I -b -qZ-
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utIine Lighting
Limited Energy/Res
Limited Energy/Comm
STIBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
5D, ao
2-.so
$
$
s
$
40.00
40.00
20.00
36.00
5
OHEGO'V
RECEIVED B
s-4, so
CiW E o<q nt\,<-
-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
)