HomeMy WebLinkAboutPermit Electrical 1993-11-19
-.
SPRINC"LD
The following project as submitted has the follow!
. zoning, and does not require specific land use
225 FIFTH STREET ' approval. ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning tv\. f) t? n,;:1.I f\f"V\
INSPECTION REQUEST: 726-3769 1/ \,~_ I. ' City Job Number '-'1--.)\' ILH-..
" OFFICE: 726-3759 Data_.Lfu~ Id ~de-q3
, . . Authorizad Sign.tu~., <::: 3. COHPLETE FEE SCHEDULE BELOV
I.' 'LOCATION OX J;NSTAL~TlQN
( ()'K'S, ~ I n~1 \'~ f\, .~ill\H (\ o.D) A. New Residential-Single or
Hulti-Family per dwelling unit.
'LEGALJlES~PT~ON. Service Included:
II '10 :\6,)'rl.\~ \ \I cc--C") Items Cos t
6<
cQ
~ ~....... JOB DESCRIPTION, /\ "\ t ....,-p(
'4-)U ~VJ l3rl~ ~ ..~ rf\I""')
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2." CONTRACTOR INSTALLATION ONLY
Electrical Contractor-1f~J~(~ LJf~~'f
Address 353 !> (",5 f(...
City SI'
Phone 7'1...( -II.. r-
Supervisor License Number 3,77 S
Expiration Date
{o -'I Y
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number ~"i''( ~.1
Expira tion Date
<-S--<;y
Signature of Supe~~ing Electrician
~f(~
"! Owners Name ~ N\'L~ J , 0
. ,
Address \\ '1\..'" \ 't\Q't\1\\.f'D
City f -'. ".0. 9 f<l....- _Phone ?-A -a- z;( n9'Z->
OVNER IN~ALiATION .
The installation is beirig made on
property I own vhich is not intended
for sale, lease or rent.
OvOers Signature:
"
DATE~-----~--------IT~IZ1r~~---~---
RECEli'T, I:. J. - / Uc.,4- t
RECEIVED BY: (/ ~Lf '{...\. ~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
B. 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Ci rcui ts
Sum
$ 85.00
flD
$ 15.00 de ')
,
$ 40,00
$ 50.00
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
volts
$ 1.0.00
$ 55.00
$ 80.00
see "BtI
allOve
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightinl!
Limited Energy/Res
Limited Energy/Comm
One Ci rcuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2,00
not included)
$ 40,00
$ 40.00
$ 20.00
$ 36,00
dJ(YJ ,oJ
...J. ( J .u c.z
C'V) ( ) . '-"u
.
.
SPRINGFIELD
The fOllOWing pr I ,..
. ;O~jng, and d"e~ ~~ ~: O~bmftt&j hoc the folf
225 PIFTH STREET p~rO"Q'. . qUIre sPecffic land u~CAL PERHIT APPl.ICATION
SPRINGPIELD, OREGON 97477 Zonin JL!1 ('\v"?
INSPECTION REQUEST: 72~-F69111 :9. A. J \l: __ Ci ty Job Number q 3/ '7tJ 2.-
OPP!CE: 726-3759 1.~"---Ll5,193 1 ~-~...- q;> ,
. Au.nor;Zed 5i tr<" '"3: C6HPJ..ETE PEE SCHEDULE BELOIl
1: LOCATION OP IN,STALLATION gnOlura
-6~~1t':?~7 )./. ~ ,A. New l\~ntial-Single or
// ~f!rO Hulti-Family per dwelling unit.
, LEGAL DESCRIPTION ~,' Service Included:
/'7/?"1 :22. ~ / /I~ Items Cost Sum
JOB DESCRIPTION
"'7&r?.d ".I?~ ~ J~
s ,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.' CONTRACTOR INSTALLATION ONLY
Electrical Contractor-1f;r~I~ LJf~~'f
Address 353 5: (..$ (t..
City S,P
Phone 7'-1 '-I -II... S-
Supervisor License Number 3,",)1.s
Expiration Date
104'1
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Cons t r Con t r. Number '6', '-( 2. 3.
Expiration Date <-$"""-'91
Signature of Sup~ing Electrician
&--tf~
'it Owners Name ~t3::r ~ac
Address I /1C: A~/t'.r R(I-
Ci ty hI) , Phone ~4'1'-5Z:'z..
01lNER INSTALLATION
r
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
OWners Signature:
"
----------------------------------
DATE:
RECEIPT I: .
RECEIvED BY:
;1-/5-/,3
Ib9~q.1
tt:~~-
1000 sq.ft. or less
Each additional, 500
sq. ft or portion
thereof
Each Hanuf'd 1I0me or
Modular Dwelling
Service or Feeder
B. 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
200 amps or less '-
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Ci rcui ts
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "Bn
~~
above
New, Alteration or Extension Per Panel
Hisce11aneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline l.ighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAl. OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40,00
$ 40,00
$ 20.00
, $ 36.00
4/)"f)
. 2<11:)
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