HomeMy WebLinkAboutPermit Electrical 1991-05-15OREGO'UC'TY OF
SPFlINGFIELD
.4"
225 FII|rE STREET
SPBJNGTIELD, oREGoN 97 477
INSPECTI0N REOUEST: 7
0FFICB: 726-3759
769 q\
1 ON
{
JOB
Permits are non-trans rable and expireif vork ls not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. CONIRACTOR INSTALI.,ATION ONLY
Electrical Contracto
Address
ELECTRICAL PERHIT APPLICATION
ty Job Number
SCIIEDULB BELOII
Nev Residential-Single or
Multi-Family per dvelling unlt.
Service Included:
f tems Cos t
$ 8s.001.500 sq. f t. or less
Each additlonal 500
sq. ft or portion
thereof
Each Manuf,d Home or
-Modular Dvelling
Serviee or Feeder
$ is.00
$ 3s.00
Services or Feeders (L0 Branch Circuits
included). Installation, Alterationsor Relocation:
100 amps or less
101 amps to 400 amps T40L amps to 600 amps
601 amps to 1000 amps-
over 1000 amps/volts
-Reconnect Only
Temporary Services or FeedersInstallation, Alteration or Relocation
A
B
C
I
J Ul[
ct
Supervisor cense Number
Expiration Date
Constr Contr. Number C a6
Expiration Date
Signature of Supervising Electrician
0vners Name
Address
ct Phone
OVNER ON
The installation is being made onproperty I ovn vhich is not intendedfor saIe, lease or rent.
Ovners Slgnature:
DATE:
RECBIET *:
Phone'-l4;7cbl
s 3s.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 3s.00
35.00
40.00
80.00
$
$
$ss
$ 3s.00
$ s0.00
$ 1s.00
EMO
200 amps or less
201 amps to 400 amps
-over 401 to 600 amps
-Over 600 amps or 1000 ffi[ee rrBrr aSove
f,
D. Branch Circuits
I{ev, Alteration or Extension per panel
One Circuit
Tvo to ten Circuits
Each AddtrI ten orportion thereof
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation g 36.00Sign/outline Lighti.,g- $ 36.00
Signal Circuit orlimited energy panel $ 36.00
ST,BTOTAL OF ABOVB
5X State Sureharge
TOTAL
o
5
RECEIVED BI:
CD
l_lb+ ?ott?7
DATE , l2--s -qo
JOB ADDRESS:
OWNER:
OIfNERS ADDRESS:
APPLICANT:
APPLICANTS ADDRESS:o
ACCESS TO PROPERTY--PLEASE INCLUDE TELEP}IONE NTIMBER 6q r-o771FOR
CITY OF SPRINGFIELD
Department of Planning and Dev. 'lonment
Building Sa
225 NorthSpringfield,
726-3753 (Bus. )
ivis
treetn 97 477
76e (Insp.)
fety D
5th s
0rego
726-3
OCCUPANCY INSPEC
APPLICATION
SPRINGFIELD
PROPOSED USE:
A $ 35.00 INSPECTI9N FEE IS REQUIRED AT TI{E TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY T}IE OI.TNER OF THE PROPERTY TO
BE INSPECTED.
S TURE PROPER OtrINER
FOR OFFICE USE ONLY
DATE oF IIISPECTION: I -3-qt
DATE OF REPORT:
RECEIPT NI]MBER:( ?qq t
DATE PAIDT l7_-Z 7 -?D
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
a I
CORPORATION
BOB CALLIES
PETROLEUM MAINTENANCE
50 HIGHWAY 99 NORTH
JP. o. Box 2803
euceue, oREGON 97402 683-4433
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