HomeMy WebLinkAboutPermit Electrical 1993-9-17
,...
SPR!!lLD
The t,," ""oo'" ....r-:~~.t e.~ ~\Jb~ittcd hae the followi
lOr' .,)\ f<;q...lra specific land use
ar
225 FIFTH STREET -II ,
SPRINGFIELD, OREGON 97417 coniOq,:",~V
.' INSPECTION REQUEST: 726r37,~9 fA /'[J~ City Job Number
OFFICE: 726-3759 . -"-\- iA1~
. Authoriz.d Signalul.lJ1~v' ~ ~: :-~E SCnEDULE BELOV
1: 1'\'~If~~JIt~~~eI~. (\ \0 'ffu~
\ f1~~~~ggrIOl\~C\rD \)
\;\JOB DE,SCRIPTION f\ , ...A Q I3
\ ~ \. \"\\ 0 V. d LVI,..)
- '\ I
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days. .
. .
2.' CONTRACTOR INSTALLATION ONLY
Electrical Contractor-1f;rJ~(~ LJ1~~.r
Address 353 S ~5 (t...
City SI'
!
Phone 7'-1 ~ -I (.. r-
Supervisor License Number 3 ~7"/ 5
Expiration Date
to "4 ~
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Constr Contr. Number '8'9'(2-1
Expiration Date <_S--4~
Signature of S~~vising Electrician
Z:.J ;/(~
'! Ovners Name ~>=:1.Ov't..~
Address \\f\C:S ~~\\~ r ,~(\)
City fJ.Yw.~ Phone. <...~.6\A'2-
OVNER I~TALlATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
..
DATE:....-q~:(1-~~~------_............_-_........................__....
RECEIPT. .: . i 030 I
RECEIVED BY: ttl1.M..L.
ELECTRICAL PERHIT APPLICATION
Nev Residential....Single or
Hulti-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd lIome or
Modular Dvelling
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
Items
~
8
Q&'J2B9
uni to
Cost Sum
$ 85.00 ill~
ill pO '.
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
Hisce11aneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
'L(X) .CO
/0.00
? 10.00
.~ zoo.OD .
I?rrAl...--4l0 -m
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
~AT-..\l..,
~~'
not included)