HomeMy WebLinkAboutPermit Signage 1991-3-7
I
ELECTRICAL PERHIT APPLICATION
City Job Number q;oZ-{5D,
3. COMPLETE 'FRE'SCHEDULE BELOV ~
A. :~,t;~i;;i::;S::::;i:: ~". . A\ .
Service Included:
f
225 u~... STREET
SPRI"'I>~.LA...o, OREGON 97477
. INSPECTION REQUEST: .726-3769'
OFFICE: .726-3759
1. LOCATION OF INSTALLATION.
/g /,5 /no,;"
LEGAL DESCRIPTION
11 D ?~/? -:>'1 _ 1'., L( () )
JOB DESCRIPTION
0...1.,,1 t!bO'.v''7'
Permits are'non-transferable and expire
if work is not' started wi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electric~l.. Contractor~ ~/~ir J'ertdc
Address. d,'" 70 lAl 7Th ,t)L
City J:U~a.MO ,Phone :3<f."'.-/{,J"/
Supervisor License Number 1 '3 q:J..5
. ,:(, Expiration Date
IO_I-q;)
1500 sq; ft. or less
Each additional 500
sq. ft or portion
thereof
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum'
$ 85~OO'
$ 15.00'"
);~ , ',i, , '
,~, \;-<I.~" ~!. /,
~. ,}',~~ J."'1 '.." I '
,$ 35.00',' .i, .
'.
Services or Feeders (10 Branch'Circuits
included). Installation, Alterations
or Relocation:
y:i ,,4,~ .~_ '
, .~.; ,l _ \~
'$ 35.00',,',"
,> ',i. $; 60:00 ;',
"~$\ 90',00
$130.00
$300.00
$ 35.00
,
, .,'
B.
100 amps or less ,';'';;:,,J
: '101 amps to 400 amps~' ',i.
: 401 amps to 600 amps
\ 601'amps to 1000 amps
~Over 1000,amps/volts
Reconnect Only .
'--- .-' '-~- -. .
'Constr Contr. Number :Jo- 41, C'
C, Temporary Services or Feeders
Installation, Alteration or Relocation
.Expiration Date
10- I-q{
. .S,ign,tureof Supervising . Electrician
-. 7rJo-dh1 ~ ~ CY jl/!.a- /
,Owners Name~ '~~
'~d,d~~ss~7~ ~ t=:"tt.,',...'J'P.UI ~v~':JI:)...
City Sf~'~7 ~I~'I,J Phone2;;l{.'- X"~Lf:..L
.OVNER INSTALLATION
The installation is being, made on
property I .own which is not intended
. for sale, lease or rent.
Owners Signature:
~\
DATE:,_ ,1.-7-17 .
, Ilt."r.u~ .: 1'1 <-I L--<.-
RECEIVED BY: aM/
200 amps or less $ 35.00
201 amps to 400 amps. $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
,Two .to ten Circuits
Each Addt'l ten or
portion thereof
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
E~ Miscellaneous (Service/feeder not included)'
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
}
$ 35.00 35.0[),
$ 50.00
$'15.00
$ 36.00
$ 36.00
$ 36.00
3?,cJU
I _7'7
?to 7j
-,: