HomeMy WebLinkAboutPermit Electrical 2001-2-7
The fOllowing project 8S submitted has the fol/owing
lonmg, and does not require T
225 FIITH STREET approval. spec' IC land "E'LECTRICAL
SPRINGFIELD, OREGON 97477 Zoning e.L
INSPECTION REQUEST: 726IT~Z69 ~-7 _() I
OFFICE: 726-3759 . \
Authonzed Signature K1U3.
1. LOCATION OF INSTALLATION
Ljt ClCJ ~I'''''^\<.\.'''
B~CSei:vi'ces or Feeders
THlln's1~nation, Alterations
Electrical Contractor,J)-r::''jrJl\ 1 'ortR'e'l!Ocat-t9_n':':XPlliEIC"7}
/' , I AUTHORIZED U/I'n :; 'n .. _' IE WORK
Address '33730 LtJ. mA-'?--TfN COjv,~,9.9Nla~p,s ~rEles'sS?.::r:.:I-':~ .,:$ 50.00
/' _ 201 amps').t6S!<,QOu\~m"p,~, ~.. ,_' $ 60.00 .
Ci ty ..L.~"'-;'LJI::.-tL Phone q, 9.:> - 2'i'iOA1'IY 401Camps.:'~ibll?00 amps-' ~~l $100.00
601 amps to 1000 amps $130.00
Supervisor License Number<: t, I L/-5> Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
/ / C. Temporary Services or Feeders
Constr Contr. Number bbg7t( ATTJ:'NT'n~o.I~~~!!p~tion, Alteration or Relocation
fOl/o", 1'/1" .
Expiration Date 070101 ~I"..,.. " I 200'amps',or, less
. . ......,'. III', "0201 -amps to '400 amps
Si~e of ~erviSing Electrici~~:.IJ."1if,2:11111.0'.Y..~~1 MJ),I~?;60.0 amps
. . . ~ W~.,;'h: Yli:j'" OV.e!;, 6.9,9,' am~s' or ',1000 vol ts
fJL~II;/'"", j...._ ~.~,-I J (:. If"
~wn~r ~j e Sk~\V1.A. :L" D~;;':''';:' D.:': Branch"circuits:~~,,~
~ New, Alteration or Extension Per Panel
Address . R~I fIe{
LEGAL DESCRIPTION
1'1-(),"> 3'--1'-1:i. ()0600
JOB DESCRIPTION
-;;t. c rc..u>t.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
Expiration Date
100 I 0 I
Ci ty "':>,,,-!Iri Phone "'14 6 - g(.; 0 I
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ;),,-"1-01
RECEIPT I:. '-I:>'] '-'\
RECEIVED BY: W'\
\:.i ,,~
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 J 726,3753
FAX (541 J 726,3689
PERMIT APPLICATION
0(-000 d-. '(;'-0 {
Job Number
COKPLETE ?BE SCHEDULE BELOV
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 Bome or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
I()~
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit 1
$ 35.00 sS
$ 2.00 :? 7>
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.0QJE -<
Limited Energy/Res $ 20.0o-':D:iS
Limi ted Energy /Comm $ 36. O~ f.1 ~
C":J C"Tlu
5. SUBTOTAL OF ABOVE )7'-.~c ;:",~~
7%. State Surcharge :2.~.,..., faD.b
3% Administrative Fee I,~ ro--Jg
TOTAL 40.%~~!:'5tJ
O1n1-.JO...o
....0..0..........0