Loading...
HomeMy WebLinkAboutPermit Electrical 1996-10-14 ,.. . SP.~~IELO .....,~."..,'. " " zClnlr~. Gnd doas not f&qU rli.! SPS>CITlC IBno U~ ~DproV<:;l1. . .. . Zonina f V Dute~{()' 1""~7.it. ' : AUlhorl.oo slgn~tur....:-.1J . "^ 97477 726-3769 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE:' 726-3759 , 'I 1. L,OJ:AT:{ON9~ INSTALLATION , :.> .5 0 ;V/ fJ //\ \" -+"', n- , LEGAL, DESCRIPTION Ii O~ 55, ,~I 07000 \, JOB DESCRIPTION , "e ~ I.I~I-f;' /r/u ....1'Yl~j rfp/y-- Permits are non-transferable and expire if vork is not s~arted within '180 days of issuance ~r if work is suspended for 180 days, EI.FaRlCAL PERMIT APPLICATION 'Ci ty Job NlJ11Ib~r 3f.e/'~ Ctj 3.. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or 'Muiti-Family per d~eiling'unit, Service Included: Items 1000 sq.ft. or less Each,additional 500 sq. f,t or ponion thereof Each Manuf'd Home, or Modular 'Dwelling Service or Feede~ 2. CONTRACTOR INSTALLATION ONLY '.B. Services or Feeders , , ' . 'A} .' . Installation,' Alterations Electrical Contractor i~fiA-.h{q~"";('o/"fl<{?~or Relocation:. ..,. , Address 7/ J.. '(i;/z,,/,I'1..- J 15'+_ I 200 amps or less , , ?:..oj' d'1//' 201 amps to 400 amps City C;:V/)-b1P Phone ncfD'-~' 401 amps to 600 amps ./ '. . ,.,pOI amps to 1000 amps Supervisor License Number ~'7,V2b.3-({tsover 1000 amps/volts . /0///41 Reconnect Only Expira t ion Da t,e constr' Contr. Number-.!J 3?fq;l. Expiration Date J;)/r!~" The installation is being made on' property. i own. whiCh is not intendea for sale, leas" or pen t, " ~'~l~~ur;:U~~j/: ,DATE~-7---;rii~-~~-9'~----------~--7- "",...lHp:i #:' - ;)Aa{o LJ .' " RECEIVED BY: '(ftj) (iMJ Q. 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 $ 40.00 . $ 40.00 $ 20.00 -L $ 36.00 3L()O tS1~()>(~ ~. -< tlf E., Miscellaneous ~Service/feeder -Each installation Pump or -irrigation Sign/Outline Lighting Limi ted Energy/Res' \ Limited.Energy/Comm 200 amps' 'or 'less -$ '201 amps to 400 amps $ Sign.sture of Su~r:):ing Ele".tridang~:~ ~g6 '~~[)~O~/~b~O volts ~ee "B" above , J2:;;"U,#A---"2 ' , - " "~~L/'" , l~/I' . " D. BranCh. Circuits OW"ners Name /AJc..1_{/ r,1., , . ' Address---..:...3 j (J~<./'1 \ 1-.'517'" '+;f'(j~ew, Alteration or, Extension Per Panel City )fi-l"J"~tI';j p~one"]yl ~ ~7? . ~~~h C~~~~~~onal $ 35.00 . . ." '. '. ~' , Circuit or with Service OYNER INSTALLATION, or' Feeder Permit 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL " 40.00 55.00 80.00 $, 2,00 not included)