Loading...
HomeMy WebLinkAboutPermit Electrical 1992-7-14 :~", fOllo\Vin~ project lIS s..:brr.llted t>!il the fol ~.. ,.nmG, and wOOS not "'Guire speciflo land use ~~ :pprOi.'c.f. . ' 225 FIFTH STREET ' , . ~() ') ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 ~onln f'U I"7LlI'\/')/~/- INSPECTION REQUEST: 726-32~....j: . .0' , City Job Number ~lo( J1~ OFFICE: 726-3759 ',--L ( . , , 1-\liIhClliZlxl S;gn;tuf"~u",,,,,,,, """ SCHEDULE BELOV 1. LOCATtON OF IN~TAJJ.ATION j. 'Ot) 't.IJL.I~ ..cJh. './'1-' _ A. Nev Residential-Single or , 0 110~~'/cO~Multi-FamilY per dvelling unit. ~~GAL pESCRIPTJqN ~ ~ Service Included: (, ~J1..JJ)r,k-l-?lLl,L. Items Cost 'tr . j JOB DES~I~N {} ~ y-' ;Lg 3-M03 goo L Permits are non-transferable and expire thereof if vork'isnot started-vi'thin 180 days..---'-Each Manuf'dHome 'or of issuance or if york is suspended for ' Modular Dvelling 180 days. Service or Feeder e) Sum 1000 sq.ft. or less' Each additional 500 sq. ft or portion $ 85.00 $ ,15.00 $ 40.00 B. Services or Feeders, Installation, Alterations or Relocation: 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor ,4 7J r " Address 7t'3 tV E /{/J#t!.(Jc/< Ci ty.{J.lJ X q 7z--/'Z- Phone / -uL/. 3zh5 - Supervisor License Number 19.....1.) Lt- ~xpiration Date 10-1-9-3 Constr Contr. Number.;;;z.59ftfcf Expiration Date '-/ -2--'1- q~ 200 amps or less 201 amps to 400 .amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnec t. Only $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 e) 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 $ 40.00 $ 55.00 $ 80.00 volts see "B" above ~Signatu~e.of4SupeEV~s4ngfE~ect~t~ian" o~, '. N-~Cf\rfi~. D. Address 68.\\J~9J)'- City' ~~. Phone~VJ-3J.<6 OVNER INSTALLATION Branch Ci rcuits Nev, Alteration or Extension Per Panel $ 35.00 One Circuit Each Additional Circuit or uith Service or Feeder Permit $ 2.00 The,insta1lation is being made on property I ovn vhich is not intended for sale; lease or rent. E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 -- 5. SUBTOTAL OF ABOVE ,jblJ~ /...? 5% State Surcharge, (>Jv ~>.- ~'e.:' TOTAL 3s,-Ji'p Ovners Signature: \ ~~-;;r-l~;j~-~\-' RECEIVED BY: . ~- ~