HomeMy WebLinkAboutPermit Electrical 1992-07-28225 FIFTE STREET
sPRrNGFrEr.D, OREGON 97477
INSPECTI0N REQUESTT 726-
OPPICE: 726-3759
1
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LOCATION OT INSTALI.ATION
/ .a.j r ,i, r
PERHIT APPLICATION
City Job Number
COHPI.^RTE PEE SCBEDULE BELOV
A. Nev Res e al-Single or
HuIti-FamiIy per dwelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular DveIIing
Service or Feeder
s Bs.oo
s 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations or
ReIoca t ion :
200 amps or less
201 amps to 400 amps
-40L amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/voIts
Reconneet Only
130.00
300.00
40. 00
c
One Ci rcui t
Each Addi tional
Circuit or vith Service
or Feeder Permi t $ 2.oo
2ie
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation S
Sign/OutIine Lighting_ $
Limi ted Energy/Res S
Limited Energy/Comm' -/ S
3769
Tl-
IJGAL DESCRIPTION
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 INSTALI^ATION ONLY
a Sum
Electrical Contrac tor firuiTra/ o/EVtno e-
Address b5' Q-./rn<.-s 5/-
cirytf",ro P--t.z-thone40,{-4 lc/(//
Supervisor License Ntimber ,fL fi ET
Exp iration Date / O-f -7 3
Cons t r Con t r. Number C 5-/ c{ q
Expiration Date C -/f-'q 3
Signature Blectrician
Ovners Dtr.*l{ tl lnp.ru'
Address tl? il )7+
ci Phone -6t
OVNER INSTALI.ATION
The installation is being made on
property I ovn which is not intended
for saIe, Iease or rent.
ovners Signature:
DATE:
RECEIPT *:
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Pane1
s 3s.00
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see "B" above
50.00
60.00
100.00
$
s
$
$
$
$
E.not included)
40.00
40. oo
20. oo
36.00 X t a
5 SUBTOTAL OP ABOVE
5Z State Surcharge
TOTAL
3G. go
( ,*o
31, (o
RECEIVED
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