HomeMy WebLinkAboutPermit Electrical 1998-01-23a
t[.rCITY OF OREGO'V
NOTICE:
l=Lg'-tt
,,THIS PERMIT
AUTHORIZED
225 FIPTB
SPRINGFIELD 9
INSPECTION REQUESTz 726-3
OFPICE: 726-3759
1 INST 3 5/14 'A
LEGAL L LL o
JOB DESCRIPTION
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 INSTAII,ATTON ONLT
Electrical Contractor
Address ra(z -oJon^-I->'
Ci ty Phone 7Zf -/5oo
I SrPervisor License Number /15-S
Exp iration Date
Constr Contr. Number 63[37 EF
Expiration Date /(
Signa of Supervis ing Electrician
ftre""^^-
Ovners Name
Address
769 ANY 180 DAY PERioD' citY ?roo(?
S\ .r{GFIELc,
PBRHIT APPLICATION
Job Nunber
3. COT{PI,ETE FBE SCEEDUI,E BELOII
Nev Residential-Sing1e or
MuIti-Family per dvelling unit.
Service Included:
LOCATION OFAts
I tems Cos t
$ 8s.001000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
SerVice or Feeder
s 1s.00
$ 40.00
B. Servi.ces or F
Installation terat ionsf/ot,.,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 oniy
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40-00
ZOt "rir" to 400 amps
-
S 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or l0OOEIls see "8" aEE
Branch Ci rcui ts : .-
Nev, Alteration or Extension Per Panel
Sum
Ci ty C\- phone ? -Z S 3gr7
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
C
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permi t 2-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/0ut1ine Lighting_
Limited Energy/Res
Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
D
os s0.00
s 60.00
s100.0Q
$130. 00
$300.00
$ 40.00
tu
-
.r .\O
l-
VtnrL $ 3s.00
$ 2.00
$
s
$
$
40.
40.
20.
36.
00
00
00
00
RBCEIVED.B
5