HomeMy WebLinkAboutPermit Electrical 1989-12-29
.
.
The following proJecf Ii'
:'''''iing, and does not as 8~ mmed. ~as tho foUowi
tl,:wrovni, raqu Nt specific land use
Zoning Uv
225 FIFTH STREET ;"Ie /4./7 "!/ ~ <I
SPRINGFIELD, OREGON 974ilLthorizedSIgnlllu19 n ""-
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
"'." .Job Number C; f I S ~1
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
UI_I.. lA4-?S6r-e."J LP . A. New Residential-Single or
Multi-Family per dwelling unit,
LEGAL ~W~1-70).~SJ3~0la3Wservice Included: Items Cost
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof _.tIO~ 15.00
Each,Manuf'd HC?!II,1fl.en:r \ 1"\..... iT
~OMb\d.urar!?-l1-~Uil'rl'g \IlI'1 ,S \'010
\~i\~~~..'li'~~ ~b:~di:.'W~Ii'f, ?C~I'\ s 40.00
,...unR'~CO " .",r>.\'oIOO
,B. pServ.]'.c~S.:\9!)t'Beeilers
(~8RJa1'la:~igr.1-\\(~;1.tera t ions
~~4~_I~or Re~ocatibn:
. ,..,<=-. ~,N\( 1.'.1\1 '
200 amps or less S 50.00
201' amps to 400 amps . ~oo
401 amps to. 600 ~nw,,~, ,"W feq\llf ~\i~
601 aq!psENq\()600f'a~8~~' I\'\e ufe ,lrtCWr\\'I
Over wbo f~~1'nQ~A fules ~tj'Q !2QS01'
Recoriffl!~~ \ el\\ef. \r."..n\'\ O~f\4' i. ~~ bV
No\ilica' Z.001.001? .. les 01\\'16 IU l\e
C. Tempqr~ ~,~!~etl\l(jP ~f9.d.l'lIl~\e?~0 liol\
Ins tajdliCt-:l:45I\ thl'~'~R\\\y~~tlon
ca\\1l\9 \'Ie Ole90l\ Z344) ,
200 amp.roto~lfg~~eris1.800.33Z' S 40.00
201 amps to 4~ amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
JOB DESCRIPTION
A=I R. t.Jv+J>JIf)/...uL. .~ P U 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 V--5ltE'cN'-u
Address P..o (3b>G 1-<< "I'\"l..
Ci ty ~ u~ .~.J) .
Phone Ide,.-b;l.3 L..
Supervisor License Number 'Q,,'j'7 <';'
Expiration Date 1'0 -/ - n I
Constr Contr. Number ")tl RA9
Expiration Date
I~-?'o-'T'l
Signature of Supervising Electrician
"1{~ v--_/J'J-I-
Oyners Name k.. e
......~I'{J...,b~""
Address 'I..{(" (n i-14-~ S.O ,....-eAJ L-p
City -:r~'l Y-,.u.. Phone ?:H,,'-'iiC:;b
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
,
DATE~~----7~i2q1v("t--;'~\-----
RECEIPT 11: { \~~ \
RECEIVED -BY: 'L tVI U~
Sum
S 85,00
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
-L S 35.00 !::S ()C,
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t :J
2.00
2-OC
$
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lightin~ S 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE :2 7. D n
5% State Surcharge
3% Administrative Fee
TOTAL ' !::, '1 ' '7 tV'