HomeMy WebLinkAboutPermit Electrical 1992-11-06:r'm
225 FIFTB STRBEf,
SPRTNGFTEU)oREGoN 97477,
ELECTRICAL APPLICATION
uni t.
$ 8s.00
$ 1s.00
$ 40.00
s 50.00
$ 60.00
$100.00
$130.00
$300. 00
$ 40.00
INSPECTI0N RBQUBSTz 726-
OPFICE: 726-3759
1.OP
a1-S
per
Service fnclu ded:
b Number
SCIEDULB BBLOU
ingle or
dweII i ng
Itemsotffi Cost Sum
Permits are transferable and expire
if vork is not started vithin 180 days
of issuance or if vork ls suspended for
180 days.
2 COIII"ACTOR INSTALI.ATION ONLY
Electrical Contractor
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
-Modular Duelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less I
201 amps to 400 amps _401 amps to 600 amps _
601 amps to 1000 amps_
0ver 1000 amps/volts
Reconneet Only
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B
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Ci ty
Supe
Phone
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+4
rvlsor rcen se
Expiration Date tclqS
Constr Contr. Number
Expiration Date.ial D,q2
Signature of Supervi Blectrician
0wners Nanie
Address
Ct ty Phone
OTINER TION
The installatlon is being made on
property I own which is not intended
for sale, Iease or rent.
0vners Signature:
DATE:.
t
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Addi t ional
Circui t or vi th Service
or Feeder Permi t \3- $ 2. 00
200 amps or less $ 40.00
2oL amps to 4oo amps
-
$ 55.00
0ver 600 amps or 1000 volts see rrBrr above
Le
E
5
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utIine Lighting_ S
Limited Energy/Res $
Limi ted Energy/Comm : S
SUBTOTAL Ot' ABOVB
5Z State Surcharge
TOTAL
not included)
40.00
40.00
20.00
RECEIVED BY
co
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