HomeMy WebLinkAboutPermit Electrical 1991-06-12CITY OFSPF OREG orv
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225 PrFrE /ffizfu{?
SPRTNGETBU), OREG0N 97477
INSPBGII0II RBQIIBSI: 726-3769
OFFICE: 726-3759
1.
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LOCATION OT
r1r)) 3laq -o1booUEGAL DBSCRIPTION
JOB DBSCRIPIIONr@h)tuf s&//E t, t':
Permlts are non-transferable and explre
lf nork ls not started wlthln 180 days
of lssuance or lf vork ls suspended for
180 days.
2. COIiTRACTOR INSTALIJTTION ONLI
Electrical Contractor
Address
ct Phone
Supervlsor License Number
Explration Date
Constr Contr. Number
Expi ratlon Date
Slgnature of Supervislng Blectrlcian
0vners Name LL
Address 17 [g zt--
ct Phone 24 (- 67 ?3
sl,r.iN(i'FlELf,
EIJCIRICAL PERIIIT APPIJCATION
City Job Number
3. CO}IPI,ETE TBE SCBBDT'I,B BELOTI
A. Nev Residential-Slngle or
Multi-Family per dvelllng unlt.
Servlce Includedl Items Cost
1500 sq.ft. or less $ 85.00
Each addltlonal 500
sq. ft or portlon
thereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder $ 35.00
Sum
D Servlces or Feeders (10 Branch Clrcults
lncluded). Installation, Alteratlons
or Relocation:
100 amps or less
101 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y :
200 amps or less
Over 401 to 600 amps _0ver 600 amps or 1000 volts
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 3s.00
see trBtr above
w
C. Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocation
$ 3s.00
$ 40.00
$ 80.00
OUNER INSTALI..ATION
The installatlon ls belng.made onproperty I own which ls not lntendedfor sa1e, Iease or rent.
Ovners Slgrrature:
D. Branch Clrcults
New, Alteratlon or Extenslon Per Panel
One Circult
Two to ten Clrcults
Each Addtrl ten orportlon thereof $ 1s.00
Miscellaneous (Servlce/feeder not tncluded)
-Each installation
Pump or irrigation $ 36.00
sign,/outline Lightr"g- $ 36.00
Slgna1 Clrcult or
Ilmited energy panel $ 36.00
SIIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
?S,E
7--7T-
b
$
$
00
00
35.
50
B
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DATE:
RECEIVBD BI:
-7/5
73-