HomeMy WebLinkAboutPermit Electrical 1995-10-06OF SPRcl OREGOA'
225 FIFTE STREET
oREGblt:8?477
INSPECTTON REQTIEST
OFFICE: 726-3759'A,.lthorlzr*i
1. LOCATION OP INSTALLATION
IJGAL DESCRIPTION'25
JOB DESCRIPTION
Address 3'?1 tf ?ent eth,s &erk rL{.
EI,ECTRICAL PERUIT APPLICATION
Ci ty Job Nunber 7 5/5so
FEE SCffiDt[J BELOS
A. Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or Portion
thereof
Each Manuf'd Home- or
Hodular Dwelling
Serviee or Feeder
$ 8s.00
$ 1s.00
$00
Services or Feeders
Installation, Alterations
or Relocation:
SPFIINGFIELI'
200 amps or less
201- amps to 400 amPs
-
401 amps to 600 amPs
-
601 amps to 100C amPs-
Over 1000 amPs/volts
-
Reconnect OnlY
-Each ins tal-Iation
Pump or irrigation ---Sign/0ut1ine Lighting_-
Limited EnergY/Res
--Limited EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Admini-strative Fee
TOTAL
c
h,
}f, I?,,ix[ 3ffi;s ff #iPJgg#i.1j5,fl"*,0
t
40
60.
l_00.
1?n
300.
40.
40.00
55.00
80.00
ee lfBlt
Sum
aEove
Ci ty e o,L Phone 7 3C(
$
s
$
s
$
s
00
00
00
00
00
00
50.
Supervisor License Number 1 {u€-
Expiration Date,6
Constr Contr. Number
Expiration Date /t /rr
S ture of SuPervising Electrician
tA).
87€AL Temporary Services or Feeders
Insiallaiion, Alteration or Relocationc
E
200 amps''or less $
201 amps to 400 amPs
-
$over 4b1 to 600 amps
-
$
Over 600 amps or 1000 voITs s
OVNER INSTALI-ATION
The installation ls being made on
property I ovn vhich is not intended
for sa1e, lease or rent'
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit \ g 35.00 <9:oa
Each Additional
:l';:::":'nxl,ll,t""t'k $ 2.oo z-* '?
Miscellaneous (Service/feeder not included)
Ovners Name
Address
0vners Signature:
$ 40.00
$ 40.00
$ 20.00
$ 36.00
<7e
DATE:
RBCEIVED B
5
-/
.grf___+;77_
--373+
SPRINGFIELD,
."?1f
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if uork is suspended for
180 days.
2. CONTRACTOR INSTAILATION ONLY B.
Electrical Contrac tor /b/Y 6l<< h*er,;' i:^ -
P/l,/Er ),1724