HomeMy WebLinkAboutPermit Electrical 1999-4-3
225 FrITH STREET NOTICE: ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 THISPERMITSHALLEXPIREIFTHEIII/()I Q' '"
INSPECTION REQUEST: 726-3769 AUTHORIZED UNDERT~1!f~ ~cili N'lilil~~r 1 q /'J.- /
OFFICE: 726-3759 _ COMMENf'.r= E MITISNOl .
"",0 QroliillllPl1BDEM~ULE BELOV
1. ,MXAJ'IO~~F INST TION ANY 180 DAY PERIOD
~o \), " . A. New"Residential-Single or
. e&lllVeltJe-lI-/)fJfP)!UlYlf{Hulti-Family per dwelling unit.
~ DESCRIl'!..._",- '5ftmo11) Service Included: .
tIii .C;'s.::. . r......J . Items Cost Sum
~OB DESCRIP.IION __I 1000 sq.ft. or less
J-1iI~rfi-fj f;.;rNsFex 5W1fa'C Each additional 500
,() 1l-:iJ<.. sq. ft or portion
L~LI'~ermits are non-transferable and expire thereof
q Ii ) I if work is not started within 180 days Each Hanuf'd Home, or
'T of issuance or if work is suspended for Hodular.,'Dwelling"
180 days. '\T1EI-llIUN:U'servJ'C~li;r;fFeeder' .
'" \ "adopted "v L" P -: '
f \\owru e- '1" "c' ",13. .' .
2. CONTRACTOR INSTALLATION ONLY . o'fica\ir..~~ers~;.v,i's.~~,.?J2Feede~~\ .
L R' Br bha Nol.' ~952_00'Instal1at~!lnwAlterations
, Electrical Contractor .. a m~n -?C''I'OU ma\or)'Rel~~t,~~'!.!\:;P'\O,':'
Address 68.'West "Q" Street uu-v'\\ino t\1E centO!. t~: 'I":'l\ '~O(\tlcatl"n /
ca - .200' 'amps '-or less
nUl"L:~{\~{.~'ib{ amps'1'to 400"amps
Springfield Phone 747-6638 . C' '401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
City
Supervisor License Number
14735
Expiration Date 10/01/(1/
Constr Contr, Number 08699
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
, 5~, ---
C. Temporary Services or Feeders,
Installation, Alteration or Relocation
Expiration Date
12/18/tlb .
Signature of Supervising Electrician
y ~,' ~R
Owners N~~ UcA;Ml.- /{)ti)TfJ. D.
Address tj/O fttJJ#C--av~
Citic~ q 74c4Phone 6JX' !~tJo
, I
OWER INSTALLATION
200 amp~'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00 '
Over 600 amps or 1000 volts see "B" above
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
The installation is being made on
property I own which is not intended
for sale; lease or rent.
OvnerS\;,~,igna ture:
'E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
-,
". .
. ------------/-;:'1:;.-------
DATE: 'f 511'7
RECEIPT #: .~tM c; If </ n
RECEIVED BY: P W~
5. SUBTOTAL OF ABOVE
7~ State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5tJ, --
:5,50
/ , c:)r?
C) "l Q/l