HomeMy WebLinkAboutPermit Electrical 1997-02-25225 l'iF'i'u sTR3ET
iriiNct.:uun, oBrGoN 97 477
ii'irusiioN REQUEST ; 726-37te
OFFICU t 1?6-3759
%,
Ei.ECTRICAL PBB}i.IT ATI'LICATIONo?Ci.tY job liumbe ,q 702"?3. N F9HI-].E-TE-I-EE .scHiDULE BELoU
A. Nev Resioenr:aI-Slngle.or
iruf,i-FamilY Peu dveiling unit'
lIF qFIELP
Sei-vice Ir,cJuded:I tens
1000 sq.it. or iess
Each adc i ti'onai 500
sq" ft or Portion
thereo !
Each Hanut'd iio:re or
i:lodu1ar Dwelling
Service or Feeder
Se:;vices or Peeci ers
InsraJlation' Atterations
or ltelocalion:
20C amps or less
Cne Cli-cuit
Each Lddi tional
Circuit or vith Service
or Feeder Peumi t
SUB?OTAL OF ADOVD
5Z State Surcharge
32 Adnirtisiral:ve Fee
TOTAL
1 , L,0CA'| i,0N 0F IN STALLATl gN\ieii :wt"iur !: w
,/ 2_a')>')rOff
Jou DESq RI PTI ON
/^rz/cCF
Pei'n: 1.s ?.r€ ilcl-r-tlansierable and expire
j f vork :.s nct slartei vi thi:r 180 days
cf issuattce or !f '.rork is suspended for
.) B0 days -
2, CCNT1UCTCR INSTALL{TTON ONLY
Ij'Lectl- jcai Cctiiiactoy ABLE ELECTRIC
Address trEr 1 rtrYii)i L L I'16i{!
SPRINGFIEL! ?hone 1?6-67C1
Su[>e:'vi.s<;r L: cense ]'luiiiber
Ur:p i ru Ir()r Da'.e .]'0-:-e€
ccrrs :v Ccn ( !'. .uui:ibel: 92-!qq-
Ii>:pira:jor'. Date ,-u-{ rt
Signatu:e oi Supervising Elect;ieia-n'
L.?5'1:l
;
B
CoS I
$ s5.cc
s 15.00
s 40.cc
$ 50, 00
$ 50.00
$I00.00
$130. C0
$30c .00
$ 40. cc
fo-oo
(jritel's
Adciress
Nirruc y'o /4, /trr<
C
D
E
ZOi amps to 400 amPS .-
401 anps to 600 anPs
-
6Ci amps ro 10C0 amPs-
Cver 10C0 anps/voits *
Reeonnect OnIY
Tenr:osauv Services cr Feeders
tnsiallation, Alteration ou Reloeat:on
200 arnps or less $ 40 ' 00
over 4bi io 600 .*pt
-
$ 8o'c0 .-
0r'eu 600 amPS or: 1000 vol ts see rIB' aDove
Br-anch Circui ts
Nev, Alterati'on or Extension Per Panei
/7zo E
c) ry 5l- .r/ c Phcne 7Y2 ?)o?
Oi'l'{EIr IN S'1'lrLLA'tI0N
'lhe !r',s t.rlla r iotr is being nace on
i)rope'.'t)' L ovn virich is noc intended
Ior: sa]e, lease or ::ei t .
0r^rne!s Signature:
H:.sceilaneous ( Servl ce/ !eecier
-Each installation
Pump o; ir:igatiort $
SignZOutl:ne L:girting- iLini:ed 9neugyzRes 5
Lim: ied Enerfy/Cor,rn
-
$
s 35.00
s 2.cc
nol tilciucea
40. 00
40. 00
20. co
36.00
():e.o o
DATE:
UNFtrY
a. f o
RIICEIVND D
/50
au.o o?.