HomeMy WebLinkAboutPermit Electrical 1992-03-17225 FIFTB STRBET
SPRTNGFTEU), oREGoN 97477
INSPECf,ION REQTBST2 726-
PERHIT APPLICATION
City Job Number
COT{PI.ETE FBE SCEEDUTE BBLOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
Items Cost
Qfr
200 amps or less $
201 amps to 400 amps _ $
0ver 401 to 600 amps _ $
Over 600 amps or 1000 volts se
sI'nrNGFrELo
SUBTOTAL OF ABOVB
5Z State Surcharge
TOTAT
3769'
0FFICE: 726-3759
1 LOCATION OF INST
,i'r*
JOB DES(N.IPTION///Sb// ltEtu /25 l,fu/.%u!u-
Constr Contr. Number 2A -7f -C
1000 sq.ft. or Iess
Each additional 500
$ 8s.oo
$ 1s.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
A
Sum
,aaucz-"q, ft or portion
Permits are non-tr'ansferable and expire thereofif vork is not started within 180 days Each Manuf'd Home or
of issuance or if vork is suspended for Modular Dvelling
180 days. Service or Feeder
2. COMRACT0R INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contrac tor fTluE /ru fucrik, TtZ.Relocation :
Address ,2.A. &/y ZrtS/200 amps or less /
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconneet 0n1y
Ci ty E/6dr/E- 24 pnon" 9//-/"#
Supervisor License Number 33 73-s
Expiration Date
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
40
55
80
r€
50.o o
Expiration Date
Signa Supervising Electrician
0vn l*rtt Lct-z
vj/ -r.3ail9.
'/FD
vnone 7//-?d,nz
DATE:
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcuit $ 35.00
Each Addi t ionaL
Circuit or vith Service
or Feeder Permit $ ?.00OTINER INSTALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-/-.00
.00
.00
ilB||above
Address
Ci ty
E Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/OutIine Lighting_ $
Limited Energy/Res $
Limited Energy/Comm S
not included)
40.00
40. 00
20. 00
-9o . oo
e.so
5
RECEIPT
RECEIVED BY:
€J.50