HomeMy WebLinkAboutPermit Electrical 1992-06-175tDrilN(;FTELr)
225 FIFTB SlREEf,
SPRINGFIEII)ORBGON 9747 dcs$
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ELECTRICAL PERHIT APPLICATION
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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,