HomeMy WebLinkAboutPermit Electrical 1995-7-5
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Th following projfolCt &,$l)ubmiited". a<: \ ,e .0
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zonmg. " .
approval.
225 FIFTH STREET . L D~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 Zoning" I. -
INSPECTION REOUEST: 726-3768ate '7.......'S.....1-s' City Job Number qC;;/ /;/,J
OFFICE: 726-3759 ! _. "-I V\A / , -
Autho~ Slgnatur.~lr. l' r.r. ~CHEDULE BELOV
1. LOCATION OF INSTALLATION
"5;) C .,~ ~ I A}(/. 1
LEGAL DESCRIPTIgN
,170 ,? 2.~P' ,~~ '" 77' OD
JOB DESCRIPTION
Sev u-)'( ~ ~o-.., \ c1/tW'" ~ P
.
Permits are non-tra~sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days .'" ,
.
SPRINGFIELD
A.
New Residential-Single or
Multi~Family per dwelling
Service Included:
unit.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
, I' I Installation, Alterations
Electrical Contractor0'-l"N1 All'q I [;J("C/'t-(fc.or Relocation:
Address ~7 J S- ,cOl5...No Ii, w ~d. 200 amps or less
()./) 5 201 amps to 400 amps
Ci ty j;., f'.e-.-vr~ Phone, K 97J/{)$- 302 401 amps to 600 amps
D 601 amps to 1000 amps
, Supervisor License Number 3 5 7 g 5 Over 1000 amps/vol ts
. Reconnect Only
10 -I - 9~-
Constr Contr. Number 93 9 S 3
Expi'ration Date 9-;? 1-14
v
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Q)-f'C'
Expiration Date
C.
Temporary Services or'Feeders
Installation, Alteration or Re16cation
f'
Supervising Electricia
Vt
v -l
Owners N8:me J e :1 -e-.. 'Va l~L ""
Address 'il 50 CllS i~ lAJtt v(
I
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ so.oo
see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
City ~e\ A
OVNER INSTALLATION
Phone
7 So/k - f3k l.e
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
---------------------------------------
? /.s~5' .r
( (/ J!...2/) 2
;~~-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pu~p or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE\"tJ,(JCJ
5% S ta te Surcharge ?j'V
.-TOTAL. :SlJr-17~,..;t/. / ~"O
.s 9"t:}O
The installatioh is beirig mad~ on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE:
RECEI PT, .:
RECEIVED BY: