HomeMy WebLinkAboutPermit Electrical 1994-10-24
.
ubmitted hQS the foliowl
The following pro!ectteseqs uire specific land use
zoning, and does no r
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zing.JJ-:f
INSPEctION REQUEST: 726-3769 ~ LJ t1 LI . Ci ty Job Number '9Vcf' ~ 'Y
OFFICB: 726-3759" OP!J.e,tD- .., - , ,
~ l?OHPI ETR ,,~ SCHEDULE BELOIl
1. LOct-'AgJJ OF INf>1.ALH!l"bif'oriZed Signaturo .,
. ::\V\ ~D "rW \5lu(Y\J A. Nev Residential-Single or
, 1\ Multi-Family per dwelling unit.
, LEGAL DESCRIPTION ,IJ Service Included:
/~Z,...'36~ ..~:2/i?/
/
"'- JOB DESCRIPTION it;' . .L.
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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 nTXON ,J ,rTDT~
Address
1130 BAILEY HILL RD #24
Ci ty FIlr.l!iE..- Phone ~44-l;3q5
Supervisor License Number
Expfration Date
36145
10/1/95 "
It ems
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof ,
Each Manuf'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 t
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
,~~-.
,:A~
Cost
Sum
$ 85,00
$ 15.00
$ 40.00
$ 50.00
$ 60,00 ..LzQ...
$100,00
'$130,00
$300.00
$ 40,00
constr contr. Number
,-
1i6R94
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Exptration Date ~L23L9~
Signatu~uperV~Sing Electrician
. ~,,: ",:eJ~
Address
ci ty Phone 313 (cA!1J
01lNER INSTALLATION
The, installation is being made on
property I own vhich is not intended
for sale, lease or rent,
Owners Signature:
DATE: ,/.b .:;:>e,/.~cr
RECEIPT t: / '5::/~?
RECEIVED BY~ :;:'~':;l
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ BO.OO
volts see tin"
above
Nev, Alteration or Extension Per Panel,
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit --A- $ 2.00 'l.a.>
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
T~ dQb
$ 40.00
$ 40,00
$ 20,00
$ 36,00
'1~u
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