HomeMy WebLinkAboutPermit Electrical 1997-10-9
he 0 oWing project as Gubmitted nas tho fOllowing
zoning, and does not require specific land USa
approval. 11v .
.225..FIITU STREET ~*-ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOning ,tP ~
INSPECTION REQUEST: 726-1j"69ln-Cj~q7 "'~~ fo~q;ity Job Number..!l.1.J :;),77
OFFICE: '726-3759 ~~" ~
Authorized Signature . ir.ffl,t. PEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION. ~~ ~~ ^Q~~'V
~ CJR~A,/1If11 F., SPR/1JmB.Ai'~ (f.,~'A~'-New Residential-Single or
, ~'t,.i::~ ~~<;J fot{9 Multi-Family per dwelling uni to
LEGAL DESCRIPTION ~C q,~~ ,,~'\:) Q~" C'\:)' Service Included:
/70 '3)'3"3?' () C,q.CT6..~ J"'~'" <,'\:) ,,~ Items
... ~'<:'- ~~ :J..q,'"
JOB Df:SCRIPTION ~_C"I~~<Q ~ 'V~
ei r tu..t..r V' ...l. ~
,s-r
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 B.
Electrical contracto~~~(".
Addressl'2IZ DcE..AN. St. CflLtD2
Ci t~ Phone344-/3Dl(
Supervisor License Number 31~ I 5
Expiration Date }O I, }q.g
, , ,
Constr Contr. Number 20 ,.LJ.O Be
Expiration Date 10 \ \ \'1" ~
Signature of Supervising Electrician
~~
'owners Name QIA~a.~~L\
Address..!lB1 c'r-eerllhJ,o
CitY~PhOne 7W- qt/l/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for,sale, lease or rent.
owners Signature:
DATE: 10-(')'(- <77
RECEIPT it: J-?V '?:Jt
RECEIVED IlY: 01<'0 .
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 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, amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, 'Alteration or Extension Per Panel
One Ci.rcu i t \
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 <:f:?b
-
$ 2.00'
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or' irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge to,?'
TOTAL
$
$
$
$
3s.-
),OS r /, AS.
..?'1 . [)O
40.00
40.00
20.00
36.00
/