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HomeMy WebLinkAboutPermit Electrical 1992-06-175tDrilN(;FTELr) 225 FIFTB SlREEf, SPRINGFIEII)ORBGON 9747 dcs$ .111,1 ii, 1,.5;"L,"?tri,l l'.ti llre J, ELECTRICAL PERHIT APPLICATION ) Tho to,/owl,, {!nirro. o..,, /fpro"ral. " INSPEGIION REQUBST3 726-3769 OFFICE: 726-3759 1.ON OF .sJ)ecjfjc tai:d TIHPI..BTE PBE SCEEDULE BELOS Nev Residential-Single or Iy per dvelling unit. Service fncluded: Items Cost 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portionthereof $ 15.00 Each Manuf'd Home or Modular Dvelling Service or Feeder $ 40.00 B.ices or Feeders tallation, Alterations or location: 200 amps or less l- 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect Only c Temporary Services or'Feeders Installation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Panel 'fi';T*r"o *.,0". 4f0RRl tT"SdSUHt'rs co Sum Permits are non-transferable an expi reif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. CONTRACf,OR INSTALI..ATION ONLY Electrical Contractor Add ress cit one Expiration Date Signa ture of Supervising Electrician 0vners Nam 200 amps or less $ 40.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see ilBil above $ s0.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 .00 .00 .00 .00 oo 50g supervisor License Ntimber 33q \83 Expiration Date \D \ C\L Address &\6 Ci ty Phone OITNER ALI..ATION The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. 0vncrs Signature: DATE: RECEIPT *: One Circui t Each Additional Circuit or vith Service or Feeder Permi t s 3s.00 s 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40 Sign/Outline Lighting_ $ 40 Limi ted Energy/Res $ 20 Limi ted Energy/Comm S 36 SUBTOTAL OT ABOVE 5Z State Surcharge TOTAL 5 -EGOTU RECEIVED consrr contr. Number \6ml-q3 3- Al,