HomeMy WebLinkAboutPermit Electrical 2001-9-12
'the following project as submitted has the following
zoning, aM does not require specific land use
approval.. .
~onlnQ L--D12-
225 FIFTH STREET Date -===--. q ( I J.... ( ? '
SPRINGFIELD, OREGO.liut~JrftU Signature - ~(J
INSPEcTION REQUEST: 726-3769 .
OFFICE: 726-3759
1. LOCATION OF ;!liSTALLATt9t! J J
, ? 9 b <j ';;!JiJ..?-EeJiL WIf'L ' A.
LEGAL ~SCRIPTION -/~
~ 1'7 OL5)'3 '3 . 6'1(::5(.i(
JOB DESCRIPTION
.+U I~/^-) ,Lk.u- ('~
Permits are non-transferable and expire
if 'io1ork,is not staL"ted within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~r::1C.l~,~
0UJ S. brt6 p~
Address
Ci ty S:oiD ;i\J J::d. J (9l,Phons. 14 / ~d~b3
~ \'l', qN-~
Supervisor License Number 3f'lH..r
Expiration Date /~/7...-t)/)/
Cons t r Con tr . Number H 2LJ. 2...--
, -
Expira,tion Da te~e..Jf/fiJl~7 z,ov /
Signa~~~~ Electrician
Owners Narne~./ fclc./I.A/
I
Address1/ <;()~~~ (,.,~~ PL.
Ci tY~IU:f~L1)-e,1fl!Pho~e '7 3~' 3fOv
OVNER INSTALLATION
The installation is being made on
property I ,o'Jn l.'hich is not intended
fo~ sale, lease or rent.
~1ers Signature:
---------~----'------_....-------_....._------
DATE:
RECEIPT *: __~_
RECEIVED BY:
ELECTRICAL rERMITAP~LICATION
. . ' '
City Job'Number (JI--()-c~ 76l~OI
3. ,COMPLETE ERE SCHEDULE BELOV
Services or Feeders
Installation, Alterations
or Reloc.ation:
200 amps or less ,
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00'
$ 40.00
c.
Temporary Services or Feeders.
Installation, Alteration or, Relocation
200 amps"or less /
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or lOOO.volts
D.
Branch Circ.uits
$ 40.00 yo DJL-,
$ 55.00
$ 80.00
see "B" above-
,*
New, Alteration or Extension Per Panel
S 40.00
S 40.00
$ 20.00
$ 36.00
r~ ~So.E-
f =r7()-');;'--
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feede~
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
, 5.
SUBTOTAL OF AEOVE
7% State Surcharge
3% Administrative Fee
ml:\""./t_1'.
.I.V,-.z:u...
$ 35.00
$' 2.00
not included)