Loading...
HomeMy WebLinkAboutPermit Electrical 1992-3-10 n <&quire 8jl8Clflc land U88 225 FIFTH STREET Zoning 00 SPRINGFIELD, OREGON,97477 I kh-r ' INSPECTION REOUEST:Auth'J.?e<A7MI 1.}o, ID~'"7 City Job Number OFFICE: 726-3759 S~nmum, ~ ~L-/ 3. COMPlETE FEE SCHEDULE BELOII 1000 sq.ft. or less f:;(f(.I/; ~Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder 1. LOCATION OF INSTALLATiON 172n s" A"'~ + LEGAL DESCRIPTION /70 =') 3" ?,( nl, Z-DO JOB DESCRIPTION Sef'V;I,.e. t"blAMh IJtiJ IJ C;..d Permits are non-transferable and: expire if work is not started within 180 days of issuance or if work is suspended for 180 days. A. New Residential-Single or Multi-Family per dwelling Service Included: Items 2.- CONTRACTOR~INSTALLATION ONLY". ., B. Services or Feeders. '"'7).,. , I . 'k i. c - I~~tallation, Alterations Electrical Contract.o.r~v(~Ki.J'.dEC"!rtC 1/'1 Relocation: AddressIO&)( IAJ 2.'ilot 200 amps or less l? 201 amps to .400 amps Ci ty LU t;,tAIU Phone!!> L( -::zr7'f L/- 2. 401 amps to 600 amps o 601 amps to 1000 amps Supervisor License Number <:fl. 71t; <( Over 1000 amps/volts Reconnect Only Expiration Date / () - / -4 z. .~. Constr Contr. Number 6 (o.~ 77 Expiration Date 1/- / ~ -q 2- The 'ins talla t ion is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ------------------------~-------------- ~ -/0 '-') Z ?'Cj 'i" I //..>G.-J1 DATE: RECEIPT II: RECEIVED BY: uni t. Cost Sum $ 85.00 $ 15.00 $ 40.00 or $ 50.00 !};8 e>() $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps 201 amps Over 401 Over 600 or less to 400 amps to 600 amps amps or 1000 .~4~rvis~cian/ . --- r.v'" t/L; _ ,../ I i ~D. Branch Circui ts Owners Nallie~1 IV/}ArA d. ' 9()/J .I1~ / / ~(f /J 'ANew, Alterat~on or Extension Per Panel Address 7 {; h N-UA k)fa /}/ U ' /? C\ One Circui t Ci ty Y 1./ .?g-l.-f{ P Phone I{ /1' .5lI Each Addi tional 1/ Circuit or with Service O\INER rnSTALLATION or Feeder Permi t .. "it volts $ 40.00 $ 55.00 $ 80.00 see "Bit above $ 35.00 $ ,2.00 a~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm S 36.00 5. SUBTOTAL OF ABOVE ~tl)t!) 5% State Surcharge 2. '7"0 TOTAL ~D. "10