Loading...
HomeMy WebLinkAboutPermit Electrical 1997-3-7 --.-;- - - . .. SPRINGFIELD . ", "" ;.~pr;:J:E;~, I ~. ~(_ ~W Zonl ' 225 FIFTH STREET ~LECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Date ~~ h/l jJ/! 0-, V INSPECfION REQUEST: 726-37;0?norizedSignature,..d(" v \. _'~'J-:Lb Nwnber:--1-/(J/'i1f OFFICE: 726-3759 C,.()IIIFP1Tt'> LoCJIV6.Cr _ 3. COMPLETE FEE SCHEDULE BELO\l 1; LOCATION OF INSTALLATION 3,?'5"O ~~rrew~ . LEGAL DESCRIPTION ~ 7117\ /7 o.s dd-. dO U/ u'--' Signatur:e of Supervising Eiectrician ., , 4_tl p~..'., - ' D.' ~ _ . ~ .c_ . Branch Ci~~uits Ovner:s ,e lJ7;41eI,Alent,5f~~ S PD Nell, Alter:ation or Extension Per: Panel Addr:ess /1 ft OD W 1f~65 f'- ... 12 -rl A ..1 . rr. ~ c;,Li / _ 'c'5~sOne Ci rc~i~ .... City t15~/uvYLa O.l:t!l.oneQO . .Each Addltlonal . - . Cir:cui.Cor: Ilith Service. OIlNER INSTALLATION or Feeder: Permi t . '30 $ 2.00 (..0 JAB. DDEESSCRJP PT;iON I . '. . K~I writ...,<=., , ~~, per:mi ts ar:e non-tr~nsferable and expfr:e if \lork is not star:ted'\lithiri 180 days .of issuance or: if \lor:k is suspended for: '180 days. 2. CONTRACfOR INSTALLATION ONLY Electrical Contra~tor_L_J.l, MtIIte<~ Address 4~ elb:..i 5ff~ -;re. I Phone '1 4'7 -CIe'II .300"- S I()-I-~'l 01 ~~ V L~~-7~ Ci ty ,5 Pf"p , Supervisor Licen.se Number Expiration Date Constr Contr. Number ,Expfration Da~e_ The installatiohis beirig made on pr:operty~ ollnllhich. is not intended for sale, 'lease or rent. Ovn~r:s Si~tur:e: .,."" DATE0- /---- tf7. . .. . . RECEIPT. t:. ./ )~..___/.I<l;/. . RECEIVED BY: / / ' ('/ai:lo A. Nell Residential-Single or Multi-Family per dllelling unit. Ser:vice Included: Sum Items Cost 1000 sq.ft. or less Each additional 500 sqo ft or portion thereof _ Each Manuf'd Home or Hodular: Dllelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 l 50 ....2. $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40-.00 C. Temporary Services or'Feeders Installation, Alteration or: Relocation 200 amps or less 201 ~mps tb ~OO amps Over 401 to .600 amps Over 600 amps or 1000 $ 40.00 $ 55.00 $ 80.00 see fiB" above volts $ 35000 E. Miscellaneous (Service/feeder: not included) -Each installation Puinp or. iedga t ion $40.00 Sign/Ou tlineLigh t1ng $ 40.00 Limi ted Energy'/Res $ 20.00 ,Lillii teidEnergylComm $36.60 D'" 5._ SllBTOTAL OF ABOVE ,10 - 54'StateSurchar:ge > ~~' .TOTtu. ' ~ . "b" -+- ?:F)1o f\dffi.\{\ ~-e.. I/ti' j-C> .'