HomeMy WebLinkAboutPermit Electrical 1994-07-28225 ?I,Htfl SIT.EEf,
sPRrNGrrBLD, OREGoN 97417
INSPECTION REQIEST2 726-3
oPPICB: 726-3759
rizcrl Sign
1 ok..n
PTION
permits are non-transferable and expire
if work is not started vithln 180 days
of lssuance or lf vork ls suspended for
180 days.,
2. COIII?ACTOR INSTALI.ATION ONLY
ElecLrlca1 Contractor nrXnN Et rr'r*ra
Address 1130 BAILEY HILL RD #24
City rUorrur
Supervisor Llcense Number
A
1000 sq.ft. or less
Each additional 500
sq. ft or portlon
thereof
Each Hanuf'd Home or
Hodular Dvelling
Servlce or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
OP
Thefollowing proi€ct as submttted !'ta9 thg
zonin!, ano?begnot roquire specffic bnd %
SPFIINUTIELO
use
EIJCTRTCAL PERfiIT APPLTCATION
City Job Nunber
fdoxpLerr SCEEDUIA BELOU
Nev Residentlal-Sing1e or
HuIti-Family per dvelling unit.
Service Included:
I tems Cos t
s 8s.00
$ 1s.00
$ 40.00
Sum
36145
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
-601 amps to 1000 amps-
Over 1000 amps/volts
Reconnect 0nly
ExP lration Date r0/r/95 ,,
Constr Contr. Number
'ti
66894
Temporary Services or' Feeders
Insta1lation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
200 amps or less S 40.00
0ver 401 to 600 amps $ 80.00
0ver 600 amps or 1000 voTts see '8" affiSlgnaof Supervlsing Electrician
Ovners
Address
ci Phone
OIJNER
The. installatioir is beirig made on
property I ovn vhich is not intended
for sale, Iease or rent.
Onners Signature:
DATE:
,7
c
E
ExP l'ratlon Date 5 2?/9q
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t
\ s35.oo LP
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/Outline Lighting_ $
Limited Energy/Res S
Limited Energy/Comm $
$ 2.00
not included)
40.00
40.00
20.00
RECEIVED
5
.ts t.05
approval,LU
Phone :44-S3qS
s s0.00
s 60.00
$100.00
$130.00
s300.00
SUBTOTAL OP ABOVE
5f State Surcharge
TOTAL