HomeMy WebLinkAboutPermit Electrical 1992-03-30S','ItNGFIC.Lc)
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225 FITTE STREEI
SPRINGFTE[D, onEGoN 97477
INSPECTION REQITEST2 726-3769
0FFICE: 726-3759
EIJCTRICAL PERHIT APPLICATION
City Job Nunber 4Zpru
3. COHPIJTE PEE SCEEDULE BELOV
A. Nev Residential-Single or
HuIti-FamiIy Per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less S 85'00
Each additional 500
sq. ft or Portionthereof $ 15.00
Each Manuf'd Home or
Hodular Dvelling
Service or Peeder $ 40.00
B
-Each installation
Pump or irrigation
Sign/Out1ine Light ing-
Limi ted Energy/Res _Limited Energy/Comm
STIBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
TOCATION
Icl 6 r.(
OF INSTALI,ATION>g-f'\ s+-
DESCRIPTION/ -,4 I I t^, L- '_) \.1 /_oa? 60
JOB DESCRIPTTON
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Permits are non-transferable andr expire
if vork is not started vithin 180 days
of issuanee or if vork is suspended for
180 days.
2. CO}IIRACf,OR INSTALI"ATION ONLY
I^EGALt'(c Sum
Electrical Contractor
Address 3ta a3
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less I $ 50'00 6o'oc'
201 amps to 4oo amps
-
$ 60.00
601 amps to 1000 amPs $130.00
Over 1000 amps/volts
-
$300.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
Over 600 amps or 1000-volts see t'B" above
Branch Circuits
Nev, Alteration or Extension Per Pane1
one Circuit $ 35'00
sach Additional
Circuit or with Service
or Feeder Permit -- L $ 2.oo -tC
Miscellaneous (Service/feeder not included)
C-
Ci ty
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Supervisor License Ndmber *n S
Expiration Date 4L-
Constr Contr. Number
Expiration Date l' [t,, I qz-
ture 1S ing Eleetrician
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Ovners Name
Address
Ci ty Phone
OIINER INSTALI..ATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
0vners Signature:
DATE:
E
5
00
00
00
00
$40
s40
$20
$36
RECEIVED BY:
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