HomeMy WebLinkAboutPermit Electrical 1998-08-18CITY OF SPB"VGFIELD, OBEGO'U
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SPI ,FiELE,
ELECTRICAL PERHIT APPLICATION225 FIPTE STREET
sPRrNGFrEl,D, OREGON
INSPECTION REOTIEST:
OFFICE: 726-3759
974 ggnature
7
1 OF
t1t 3
JOB
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. COMRACTOR INSTALT,ATION ONLY
Electrical Contractor
Address v
Ci ty Job Number
3. COHPT,ETE FEE SCMDULE BELOII
. A. Nev Residential-Single or
1 1,,,,Multi-Family per dvelling unit." lvu Service Included:Items Cost
io$fu oo
the Oregon UtilitY
h Installation, Alterations
or Relocation:
Q trl,o ?, c
Sum
D
Ci ty Ft ur^r-Phone
Supervisor Lice
Expiration Date IU
Constr Contr. Number
Expiration Date
S
Ovners Name u
Address
DATE:
200 amps or less
201 amps to 400 amPs
-
40L amps to 600 amPs
601 amps to 1000 amPs
nse Number
$ s0.00
s 60.00
sr_00. oo
s130.00
s300.00
$ 40.00
$
$
$
s
of rvising EIect r an
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less
3::,uBilrpF*33 :frB: -o'
"
i rore penuaT 6rlAt oGxR[8EdF
rr"nayTES?AFPSUNDER THls PERMIT ls Nor
"' -" "c.bM M-er,rbtiion ls ABANDoNED FoR
Nev, trN|6g6,gniqlpmeftftension Per Panel
q j
s
$
40.00
55.00
40.00
20.00
36 .00
s 80.00
Td&v1ffi|(a6ove
D
Ci ty t:t U utt o, Phone
*r*ZIilo*
The installation is being made on
property i ovn vhich is not intended
for sa1e, lease or rent.
Omers Signature:
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 3s.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
-
Sign/Out1ine Lightirg-
Limited Energy/Res -Limited Energy/Comm ----V
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
00
UO5
40
wr,
RECEIVED
numberforthe
rules
of the rules bY
I
Servi
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