HomeMy WebLinkAboutPermit Electrical 1995-02-16C'TY OF SPF OREGO'V
225 FTF{,E STREET
ipnrNcrrslD' oREGoN 97477
;iF;criou nrousst z 726-376e
oFFICE: 726-3759
1.OF IN ON
Tfi (
JOB DESCRIPTION outfao(*1 /U + Tq,/'il
Electrical Contractor Et aflaC
Address N,A, (EO\t+K
Ci ty 0 EYTE Phone
Supervisor License Number 4-5
Expiration Date o-l-7E
3. COHPI,ETE PEE SCffiDI'IJ BELOS
A. Nev Residential-Single.or
il"iti-r.*i1Y Per dvelling unit'
SPFTI'GFIELED
ELECTPJCAL PERI{IT
City Job Number
Service Included:I tems
1000 sq.ft. or less
nach additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular DvelIing
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or lessioi "*i," to 4oo amps
-401 amps to 600 amPS
-
601 amps to 1000 amPS-
Over 1000 anPs/volts
-
Reconnect 0n1Y
Cos t
$ 8s.oo
$ 1s.oo
$ 40.00
$ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
,rf-
flL
Sum
Permits are non-transferable and expire
ii ,ort is not started vithin 180 days
;i i;;;.;"" ot if vork is susPended for
180 daYs.
2. COMRACTOR INSTALI,ATION ONLY
Constr Contr. Number TbZD
Expiration Date 142ffi21 +4b
of Electrician
Ovners Name RFd{B<o\A\)
Address i q q
cltv f?*:f LD Phone -i 4-l -8tv
OVNER INSTALLATION
The installation is being made on
property f ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE
B
C.
D.
E
5. SUBTOTAL OF ABOVE
5% State Surcharge
3Z Adnini.strative Fee
TOTAL
Temporary Services or Feeders
rnstallation, Alteration or Relocation
200 amps or Less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
0ver 600 amps or fbOO voTts see uBu aEF
Nev, Alteration or Extension Per Panel
Z
I
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
Miscellaneous ( Service/ feeder
-Each installation
Pump or irrigation $
sign/0ut1ine Lighting- $
t imited Energy/Res
-
$
not included)
40.00
40. 00
20.00
-EqrQ.559i "XnRECEIyE,D
,J ,7