HomeMy WebLinkAboutPermit Electrical 1997-11-7
V 225 mrn ~~
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~"'f
THIS PERMIT SHALL EXPIRE IFEIY AL PERMIT ~PPLICATION
97477 AUTHORIZED UNDER THIS PERMIT IS NOT 7 S' Q"_
726-3769 COMMENCED OR IS ABANDOt-JB1,'C)!f\ob Number q I (..,--
ANY 180 DAY PEf3I9D'COMPLETE FEE SCiIEDULE BELOII
1. LOCATION OF INSTALLATION /
Ii) 8 ~ (' 12 L,qnf
~ 47'i'7S---
ItoA26Q 7JNr;2no
JOB DES~I6\ + )
pe~~~ :~Lnon_trln~:bl~ na:d :;p:~e
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 unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~~le~,c-
Address 3~!Q~ (q C--e.cb.JL ~, lh
Ci t;V/.:e o..so..n-t }I,I/ Phone '1;;J' - bl, 51
Supervisor License Number 34 9,;) 'S
Expiration Date
/D!, Jqg
Items Cas t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50-DO
200 amps or less I
201 amps to 400 amp~
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Constr Contr. Number 84&'7<1
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
",j~ ~~ -b
~ D Branch Circuits
Owners Nallie ;(, ILl< ;::i.'t'em(+~ .
Address ID2,;) -(1 Je.e...L. uJ~ lAn.'f'
----I .. .- ._--
C I -1 711/ /i/3' <::: One Cireui t
Ci ty Sff.) It'kLPhone - '1. - '1 L) E~~~e~~~i ~~o:~~h Service
OIlNER INSTALLATION . . blritlod hoorl.Fe'ede'~ Permi t </ $
The following pro19C\ a:~~ire ~p&CiiiO 1I..nd U~'j I .
Th ' t 11 - 'b' 76niMd'nddo5sno r VE II' 11 (' /f d
e .1ns a atlon 1S e1nat VU~o,~ on J. J, ' 1see aneous SerV1ee ee er
property I own which is W8t int~nd~, ~Eaeh installation
for Sale., lease or rent. ~ZOnlng_ Pump or irrigation $
, Dole Sign/Outline Lighting $
Owners signature: 51 netllre-4VV\ T;m'~d Emrrgy/Res $
Aulho g 'Limi ted Energy/Comm $
Expiration Date
7./J'I ! 9~
~~~~::-:~-7(jt~~~-~~:------------
RECEIVED ny: - 'j; . J1/1 j A _
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "n" above
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
'I'll.....!; 3 rr; 0
$ 35,00
2:00 <6.00
not included)
40.00
40.00
20.00
36,00
~g, () 0
'1 /1 ()
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(p 2-. ((! C/