HomeMy WebLinkAboutPermit Electrical 1995-05-12CITY OF OREGO'U
The lollowina -r.i"t 8s suhrr.rtted has ths
zoning, 8l'l jl t'-i."; ' r;"r ' i ..;:ri. tr -,,-ieciric land uso
225 FTYTE STRBET approval.44iSPRINGFIEI..D oREGoN 97477
INSPECTI ON REOTIEST:
726-3759
726
OFPICB:
1 INST
JOB
Permits are non-transferable and expireif work is not started within 180 daysof issuance or if vork is suspended for
180 days.
2. CO}IIB,ACTOR INSTALI,ATION ONLY
Electrical Contracto
Address BO5? S.uJ. A:rru*s )6
citv$o a,)Onlyt pnone (o4(- OS?(
supervisor Lieense Number Sf a-drc
Expiration Date- I 1f0 ,,
C
SPIIII{G| ..cD
ELBCTRICAL PERHIT APPLICATION
b Nunber q r8
SCESDULE BELOV
Nev Residential-Single or
Multi-FaniIy per'dvelling uni t.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular DveIIing
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
Services or Feeders
fnstallation, Alterations
or Relocation:
A
Sum
B.
D
E
200 amps or less
201 amps to 400 amps
--401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
-Reconnect 0nIy
$ s0.00
s 60.00
s100.00
$ 130. 00
s300. 00
$ 40.00
.00
.00
.00
l|Bil a6oiE-
consrr contr. Number 3{ - /66 CLE
Expiration ,,Date
Signature of Supervising Bleetrician
s Name
Temporary Services or Feeders
Insta1lation, Alteratlon or Relocation
200 amps or less $
201. amps to 400 amps
-
S0ver 401 to 600 amps
-
$0ver 600 amps or 1000-I6Fs se
Branch Circuits
40
5s
80
e
0vn
Add
ctt
res
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit S.2.00OVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intendedfor sale, Iease or rent.
Ovners Signature:
DATB:
vt- 3Le/*
,n"H"d ?4=&jo
Hiscellaneous (Serv
-Each installation.
Pump or irrigation
Sign/Outline Lighti
Limited Energy/Res
Limited Energy/Comm
STIBTOTAL OP ABOVB
5tr State Surcharge
TOTAL
ice/feeder not included)
s 40.00ng- S 40.00
$ 20.00
$ 36.00
CD
BRECEIVED
5
j6'
m
IJGAL DESCRITTTON\-\tnA0ff) C\\q?3,