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HomeMy WebLinkAboutPermit Electrical 1999-2-3 . The, following project as submitted has the followln . -."' 225 FIITH STREET NOTICE' ELECTRICAL PERMIT APPLICATION SPRINGFIELD. OREGON 97477 THIS P . t:;a - INSPECTION REQUEST: 726-3769 ERMITSHALL City Job Number / /0 /<-(S OFFICE: 726-3759 AUTHORIZE EXPIRE /1::,..,,_ COM D UNDE:3~ ~ CpHPLETE' ~EE1/\SCBEDULE BELOY 1. LOCATION OF INSTAL~TI.ON MENCED OR "H/~ PERMIT I ^~'_ d-.\.). \ Ii 01 J rlf'V\ Y~Y'i ~~.Jft<d", _ ISA1.8A/N_e"'iNResja'lenlt'ial-Single or j J" "ERIOD Hult'iYF,Cnfily per d...elling uni t. LEGAL DESCRIPTION ' Service Included: !7 0 3 2-1.{ I..{ ~. 0 ?- 71./ t:J, . to . .' ~'WreQUlresYou. \... .J.Oll DESCRIPTIONn A1iEN1IoN"orego" )~Ie'tll~ag.o.n \l~"t~s I \'CO:\ \UVYlv') <: tu V'VlQ cf' I:;"~'" rilles adop:e ie;ij re~iarfjl8fil~J>~1~o r "'l:Ptitica\iOn C,ente. ,i.,qou~Q>)R ~'ilr'Prgn Permi ts are non-transferable an C\~~5!!_001.0010 ~H~~!l~l the rules Y if work is not started within 1al]' ~maYObtatn.~fi~flra!J~e or of issuance or if ...ork is suspe'iWI~ i\i~~l(he center. Ii'/) I IV tQ!jll!Wi"g 180 days. ca berlor the ores~'t 3z!234~),Feeder num teris 1_800-3 2. CONTRACTOR INSTALLATION ONLY cen,B. Services or Feeders C 'C' Cl J..,' - Installation, Alterations Electrical Contractor '5: I) 0 t'U VIC,J~I\C. or Relocation: Address (J,O. 60'l14~J- City 0fPct Phone 7LJl-;l.;),3b Supervisor License Number ) 1o? I:) 10 - () I -CJ I d-D1l..f:L Jf1~o {-c; 9 ~Da. Date o..~ '), -"'I "\ Authorized Signature ~ , ~ 'i. I' i , Expi ra t ion Da te Constr Contr. Number Expiration Date Si~ture of Supervising Electrician \kl_- Q~~ oJ~s Name A-\ ld'_ Hel rboug t'\ Address ,:)...[ d-.l Hnllctev\ ()yic'/1fPcL Ci ty S~ P~one 74/n - 'riio5 f I O\INER INSTALLATION The installation is being made on property I o...n ...hich is not intended for sale, lease or rent. Ovners Signature: -----------~-T------------------------- DATE:_ L./l/f'1 RECEIPT #:.: '1112 'U.. ~ ., RECEIVED BY: J tJ~ Items 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 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 100u volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above .' Ne..., Alteration or Extension Per Panel One Circuit Each Additional Circuit or ...ith Service or Feeder Permi t ~ $ $ 35.00 35.00 2.00 If,OD E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lightin~ $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 3q.o 0 5% State Surcharge !.'1 Q 3% Administrative Fee L 17 TOTAL 4-;;1.., I ::L