Loading...
HomeMy WebLinkAboutPermit Electrical 1997-10-14 ...!" , .? . The"following project as &ubmrtted has tho follow!ng zoning, and doe~ not raqulro specific land uoo approval. Zoning ~ G 225 FIFTH STREET De!.ll\-1 Lj--'1., ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 9U!I7,lrized Slgnatur. II rv'\..,rnL_ q 7' /dl'C' -} INSPECTION REQUEST: 726-326.9. ---, I'il'\\:. ~~vmty Job Number ..,-7 X OFFICE: 726-3759 _ ~O'{\\.it.'. ",\.L E~?\f\E \ ,c.1Il0i . u:>.Pl=R~\i Sl'\ il'\\S~Ef\~T>I'lPL:ETE FEE SCHEDULE BELOII 1. LOCATI9N OF INSTALfiA\prOO "~D UI'lDEf\ I'll=O I'Of\ q ;;Z ,1 z( tJ:2. 7 tI AI \,.~~1r"'<: ~t.- '.~ f>,ep.~9 'Nev ~esid~ntial-Single. or . , ' ~~EI'lC\:.u ., Hul tl-Famlly per dvell1ng Unl t. 1 LEGAL DESCRIPTION CO ..anJ)p.'{ f'Ef\\OD. Service Included: 7()~'?;c:,LlC)... n4,vf}rwvy , Items Cost Sum JOB DESCRIPTION J2( olaf'''- / xrShr. '1 h:t.,'i~ol I J Se...-rv,,~(' Permits are non-transferable and expire cJ if york is not started vi thin 180 days of issuance or if vork is suspended for 180 days. 1000 sq.ft. or less 'Each additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular'Dvelling' Service or Feeder 2. CONTRACTOR INSTALLATION ONLY ,B. Electrical Contractor, 'J:Kc;, E::lufriC,.;,ln,- Address '2./'5L 1)0,\ St'rcc...f Ci ty Sp,.i "'5 ~,e,{d Phone 1.J.~-tllD~l... Supervisor License Numb~r ~l q.I(S /O-/-C;S-- Constr Contr. Number L..}SI2'l Expiration Date Expiration Date ;J- 2tl-tJ?? Signatur~ Jf SUpervijing Electrician ~fl!~dt ~,}IJJ,.Jb-VIr!w~~ Ovners Name H 0lA 0 jcj.,a rds ern D. Address ~c;?2.71 I} Sf Ave.. City H()rc'Z-rY"t? tJ/Z..Phone qq]- ~9tJ/ OIINER IN~lt~tON ' The installation is being made on property I ovn vhieh is not intended for sale, lease or rent. Ovner~signature: -, DATE: /0 - /4- '7 7 RECEIPT 11: :2, r r>Cf c.../ RECEIVED BY: oV/' j I Services or Feeders Installation, Alterations or Relocation: 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 $ 85.00 $ 15.00 $ 40.00 $ 50.00 IO()~ $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps' 'OT less 201 amps to 400 amps . Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or' Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Serviceifeeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL /DO.<f{) S; fJV 3,CD ID~,~