HomeMy WebLinkAboutPermit Electrical 1992-05-28C'TY
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225 Frrtg smBET
SPRINGFIBI,D, ORBGON 97477
INSPBCTION RBQUBST:. 726L97
0PPICE: 726-3759
1. LOCATION OT INSTALI,ATIONSf A
IJGAL DESCRIPTION
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DESCRTPTI
Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COttTRACf,OR INSTALI,ATION ONLY B.
Electrical Contractor
Address
City Q , ta Phone 1 ql -Orlot./
,uo"**T""nse Ntimber )oq, s
Expiration Date t)|, I q2.
ELECTRICAL PERXIT APPLTCATTON
City Job Number
SCEEDULE BELOV
New Residential-Single or
HuIti-FamiIy per dwelling unit.
rvice fncluded:
FBE
1.000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
-Modular DveIIing
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_
Over 1000 amps/volts
Misce]laneous (Service/feeder
-Each installation
Pump or irrigation $
Sign/0utline Lighting- S
Limi ted Energy/Res $
Limited Energy/Comm S
STETOTAL OP ABOVE
5Z State Surcharge
TOTAT
Items Cost Sum
$ 8s.00
$ 1s.00
s 40.00
$ s0.00
$ 60.00
$100.00
$130. 00
$300.00
=
Owners Name fo.6A D. Branch Circuits
Address i D)A 3ls/Nev, Alteration or Extension Per Panel
cttv An 4r,l ,Phone TJasa>r One Circuit $ 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S 2.00
Constr Contr. Humber OOt!],
Expirirtion Date t)
Signa Electrician
-__--r'_U-
OSNER INSTALI^ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see I'B'r above
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5
not included)
40.00
40.00
20.00
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RECEIVED BY:
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