HomeMy WebLinkAboutPermit Electrical 1995-2-9
.
The following project as submitted has e 0 0
zoning, and does not require specific land usa
approval. ./I J
2Z5 FIFTH STRE2T (tV );:LECTRICAL PERMIT APPLICATION '
SI'RINGFIEUl, OREGON 97477 Zoning (J /' "'\
INSPECTION REOUE'ST: 726~.fi9 '7 ---t1-'1.( City Job NUIllber , ~I W II ().....)
OFFICE: 726-3759
Authorized Slgnotura ~ ;:;3HPLETE FE! SCIlEOULE BELOV
1./_ J.OCAT~_OF INSTALLATION
lfllQIl UJjj) A1 ~~, A.
'1-m~n~V1 P~lnt/~G),
- -
-r JOB p,ESCRII'TIO.N /I 1.1 ~ n lIJ T::!SS
~N<7T1t/;l 220V L.Jl<;t", UL,f./f<.-
,
Permits are non-transf~rable and expire ,I
if work is not started'within 180 days ~
of issuance or if,work is suspe~ed for~DI&
180 days.
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders'
lID ,a.,n bl. T:. Installation, Alterations
Electrical Contractor L-V<.. IfJI'<-I\- VlIfwt-Y\J[... or Relocation:
Address (P'l LA) , 'to"4JI-, . 200 amps or less
/' II' 7 11 ,J 2 D 201 amps to 400 amps
City ::7PI1/D, Phone "T 7 'LP{;?:.;l6 401 amps to 600 amps
" , II 601 amps to 1000 amps-
Supervisor License Number 1'i13S Over 1000 amps/volts
~ {0/'!/,l5 Reconnect Only
Expir:atlon Date VI
,
Cons t r: Con t r:. Number ()g bq q
/2-)10 !&JS
Expiration Date
Signature of Supervising Electrician
'Y~7( L~cYL
Owner:s Na RDbe/e--r ...t::LJ)~
Address d,7 3~ U.1l1.JJ ~y<'j I TU 51--
CitY~lI!c; Phone:34S, Ig d-. 30
Ol1NER INSTALLATION
The installation is being made on
property I own vhich 1$'oot intended
for sale, lease or rent.
.
Owners Signature:
, '~~----------
DA;;;------------ I (, I '_ ~ '
RECEIPl' 1I: ,; ,')_.. . ~l4::>
RECEIVED BY: :mtJ J/ /
Nev Residential-Single or ,
.Iul ti-Ftllllily per dvell1ng Unit.
Service Includedr '
Items
Cost
, Sum
1000 sq.ft. or less
Each additional 500
sq. ft or por:tion
thereof
Each Kanuf'd'Home or
Hodular Dwelling
Ser:vice or Feeder:
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Ii
C. Temporar:y Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps ----- $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100v VOUs see "B" aoove
D.
Br:anch Circuits
Nev, Alteration or Extension Per Panel
1
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permi t
3S,()f)
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation '
Pump or itdgation $ 40.00
Sign/Outline Lighting----- $ 40.00
Limi ted Ener:gy/Res $ 20.00
Limited Energy/Comm $ 36.00
35. (1)
--L.:/ t;
, I, 7)c.
3 -: ~(1
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL