HomeMy WebLinkAboutPermit Electrical 1994-4-14
The following projoct ao submitted h"" the follov
zoning, and does not require spacKle land use
approval, ' .
225 FIITII STREET ,L-Ot- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 971,77 Zoning
INSPECTION REQUEST: 726-376~te q-I4--tiY City Job Number Q40 :s~3,
OFFICE: 726.,3759 Authorlz8d S1gnaturer--J .t'\--.- '" _ _',
'~\."i ~.u . uu .:.etIEDULE BELOV
1. LOCATION 9F INSTALLATION
/2 7~ I'f1'+wJc;u /612, AJ" A. New Residential-Single or
, Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTIO~
/'7/J2. 2 ~ ~4-
t!2.< '5' En)
JOB DESCRIPTION
~A?, Ar)P/77/hJ
, .
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
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
, $ 85.00
$ 15.00
$ 1,0.00
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
200 amps or less
201 amps to 400 amps
1,01 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 1,0.00
ConstrContr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of ,Supervising Electrician
Owners' Nanie T(JJtt~g J ~~ /~.rd"';
Address.....L2 ?~
Ci ty ~pj).
t-/Ayo&.J h. f€f),
Phone "7# .~Z(P
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~s Signat~ C
'I-;-~!~--~t:t~*----~----
DATE: ~ \ . rr.err _;-.
RECEIPT ~: \~J , J..:-).4-'--1---"1
RECEIVED BYt-1\Il){>--...,.r -
200 amps or less
201 amps to 1,00 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 1,0.00
$ 55.00
$ 80.00
volts see liB"
above
New, Alteration or Extension Per Panel
One Circuit t--"" $ 35.00 3S.H
Each Additional ~~fj
Circuit or with Service
or Feeder Permit 2- $ 2.00
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
TOTAL
not included)
$ 40.00
$ 1,0.00
$ 20.00
$ 36.00
(jj
~'--'
.Ijf+~
. "c--