HomeMy WebLinkAboutPermit Electrical 1999-10-20CITY AF OREGON
oz/tL/gE LO:22 gsor 726 3689
225 FI'nA $nEEf,
SPRIITGEIEU), oREcolr 97477
INSPE0TION RE0UBSI: 726-3769OF&ICE: 726-3759
1. IrcATroN 0r
\-La--
JOB
Permits are non-transferable expireif eork is not started ritof lssuance or lf vork is
180 days.
2. COT{I3ACTOR INSTAII^ATION
Electrical Contractor
Address an 5 tC. )
Ci ty pr,on" fu31#)?
Supervisor License Number
Expi raaion Date
of lng Blectrician
city Job f,unber 7q
3. cot{PLETE PEE SCEEDUIA pBIOrr
l.A. Neg Residential-Slngle orlluLti-Fanily per dvelling unit.Service Included:NOTICE: Items Cost Sun!
1 ooorEF. Pfr BqI sfH+ EXP I R E I F }HEy.voff K
EacIAHilHffiIaEil[JEoER ffiiSPrnulT IS NoT-
;fl "-".9.[!q!rvLserffi
sABANDoNEDfg.to
sa crfl IliXrlS9 QAX&fiE lm.-
Hodular 'Dve1ling
Sertice or Peeder $ 40.00
.8. Seiv.i.ces or Feeders
SPRtiIGFtELO
BIACTRTCAL PERfiTT APPIJCArION
s s0.00
s 60.00
$100.0Q
s130.00
$300.00s 40.00
SPFD DEY. SER.@ oo1
40.00
55.00
80.00
ee 08tr affi
f4I>rQ
,a -e, \11' q<u)
)
2
31d
(o
4
O
,. - Installation, AlterationsLy'f", Relocation:
200 amps or less \
201'aarps to 400 amps
401 amps to 600 anps _601 anps to 100O anps
0ver 1000 aops/volts
-Reconnecc Oniy
200 araps'fi less S
201 anps to 400 aops
-
$
over 401 to 600 arps
-
$
over 600 amps or 1000-iE[?s s
C^ DOu-
Constr Contr. Nunber / *l )S C. Temporary Servlces or PeedersInstallation, Alteration or Relocation
Expiration Date
Nane
Address
cir \torr {\-Q>f Phone
OTNER INSTATIATION
?he lns tallation ls being aade ony I om vhich is not intendedProPerfor sa
tIe, lease or rent.
Ovners Signature:
DATE:
Ner, Alteration or Extension Per Panel
One Circuit
bb g""h Additional
s 3s.00
Circuit or vith Service
or Feeder Pemit '3 s 2.00 // OoQ;-
E. Hiscellaneous (Service/feeder not included)
D. Branch Circuits
SUBTOTAL OF ASOVE
5Z State Surcharge
32 administrativ€ Fee
TOTAL
t
-Eaeh installation
Pump or lrrlgation
Sigir/Ou tline - Ligh t ing-
Limi ted EnergT/Res
Llmited EnergyfCoou :
s 40.00
$ 40.00
$ 20.00
$ 36.00
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RBCEII/ED
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