HomeMy WebLinkAboutPermit Electrical 1996-04-23225 YTYTts SI?,EEf,
SPRINGETEI,D ,0REGON 97477
INSPECTI0N REQI ESf, z 726-3
0PEICE: 726-3759
1 ON OP
IJGAL DESCRTPTION
JOB DESCRIPTION
SPlil FtEl-O
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit'
Service Included:
Sum
Electrical Contracto rADT ETIRTTY
Address t5 I Pearl Sfreet -Sil{ta R
ci tY Eueene. 97402 Phone (so3) 342-t3t:
Supervisor License Number R-1777.TT.8
Expiration Da te l0-r -q5
Constr Contr. Number 5 4
Expiration Dat eLl q
Signature Electrician
Owners
Address I []n 4*
ci tv@tnone 541. ?40' [4 7
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAIJ,ATTON ONLY
OSNER INSTALIATION
The installation is being made on
piop"tty I ovn vhich is not intended
for saIe, Iease or rent.
0vners Signature:
I tems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dvelling
Sertice or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
c
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
200 amps or less
201 amls to 400 amps
-401 amps to 600 amPs
-
601 amps to 1000 amPs-
Over 1000 amps/volts
-
Reconnect OnlY
TemporarY Services or Feeders
fnsiallaiion, Alteration or Relocation
200 amps or less
201 amps to 400 anPs
-Over 401 to 600 amPs
-
Over 600 amPs or 1000 volts
RM SYSTEM
Cos t
s 8s.00
s 1s.00
$ 40.00
ee (Btr a566
$s0
$60
00
00
00
00
00
00$
$100
$130
$300
40.00
5s.00
80.00
40
s
$
$
s
D Branch Circuits
Nen, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Out1ine Light ing-
Limited EnergY/Res
-
Limited EnergY/Comm .4r,Ol'
s 40.00
$ 40.00
$ 20.00
s 36.00
DATE:
5
CITY OF SPR OREGON
RECEIVED
36, oo
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EI,ECIRTCAL PERI{IT APPIJC'ATION
city Job N-b", @57o
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