HomeMy WebLinkAboutPermit Electrical 1993-02-175t.ruN(;l:rGL!..,
2i.t
225 I:IffII STIu;ET
SPIuNGFIILD, oRt':GoN 97471
iHsrscrroN REQuItsr : 726-3169
oFPICE: 7?-6'3'15t)Authorized Signature'
VflT?-C&- l-T-q3
_5+
Pcrmits are non-transferable and explre
if vork is not started vlthin 180 days
of issttance or if vork Is suspended for
180 days.
2. CO}N'RA TOR INSTALI.ATION ONLY B'
rilccrrical contrac ,o, AUh)+V ErutZtC
Add r:ess 5,8
BLBCTRICAL PEITHIT A PPLICATION
Ci ty Job Number E6
COHPT^BTE PBB SCTIEDULB BELOTI
I tems Cos t
$ 85.001000 sq.ft. or less
Each additional 500
sq. ft or Portlon
tlrereo f
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ ls.oo
$ 40.00
Services or Feeders
InstaIIation, Alterations or
Reloca tion:
1 LOCATI
t40t SToNo
^1,
4,*II INSTALLATION A. Nev Residential-Single or
HuIti-FamiIY Per dwelling unit'
Service Included:ON Sum
JOII DESCRITUON
*ob san ey' CReu * 8o' "-R
rnorru b52- 5f 42
Nr.imber /e r7 S
200 amps or less
201 anrps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 1000 amps-
Over 1000 amPs/volts
-
Reconnect 0nIY
,$
$
$1
$1
00
00
00
00
00
00
50
60
00
30Ci ty
,$300.
$ 40.*Supervisor ce
-{- Expiratiott Date
-,P constr contr. Number /lo32-
lY t*Piration Date .f-_)_z-q-3
TemporarY Services or Feeders
tnsiallailon, Alteration or Relocation
200 amps or less
201 amps to /r00 amps
-
0ver 401 to 600 amps
-
0ver 600 amps or 1000 volt
Dranch Circuits
Nev, Alteratlon or Extenslon Per Panel
one ci rcui t J- $ 3s ' oo 3i5'g
Each Addi tional
Circuit or vith Service
or Feeder Permit
-
S 2'00
-
c.
$
$
$ss
40.00
55.00
80.00
ee rrBI above
not included)
40.00
40.00
20.00
36.00
;i
I
i
I
:l
i:i
si n of Supc rvlsl ctr clan
e s Name
A<ldrcss 23rp
Ci ty I'hone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, Iease or rent.
Ovncrs Signaturc:
DATE:
RNCHI
l'liscellaneous (Service/ feeder
-Each installation
Plrmp or irrigation S
signzoutline Lighting- q
Limi ted EnergY/Res S
D
E
5. STIBTOTAL OP ABOVB
5I State Surcharge
TOTAI,
Ptus mflP?Y
4_
r{ti('IIttIll) IIY:7 ,'15
IN,
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