HomeMy WebLinkAboutPermit Electrical 2001-10-02The fOllOwing project as submitted has the following
zoning, ahd dos6 not require specific land use
approvdi oc
sPr IELD
ELECTRICAL PERHTT APPLICATION
City Job Nurnber Ot- O lO?(r-(J I
3. COHPLETE FEI SCIItrDULE BELOV
A Nev Residential-Single orMulti-Family per dwelling uni t.Service f nclr.rded:
ftems Cost
t
225 FIFTB SIREET
SPRINGFTELD, oR-EGoN
INSPEGIION REOUEST:
0FFICE:. 726-3759
Date
ryWrt fd Sisnature
7.26-37 69 .
o,)-s.oreontnl
1. LOCATTON OF IN T
LEGAL DESCRTPTION
t> 03 3s-r 3
UJ
oo'-7 oz
s 8s.00
s 1s.00
s 40.00
$ s0.00
s 60.00
s100. 00
s130.00
s300.00s 40.00
.00
.00
.00
il8il
Sum
a6ove
JOB DE ION 1000
Eacl'r
sq.
the
Each Manuf'd Home. or
-
Modular Dvelling
Service or Feeder
B. Services or FeedersInstallation, Alterations
ItrC or Rel-ocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
--601 amps to 1000 amps-
Over 1000 amps/vo1ts --Reconnect Only
sq.
add
ft
reo f
ft. or less
i tional 500
or portion
Permits are non-transferable and expireif vorlt is not'started vithin 1"80 daysof issuance or if vork is suspended for
1,80 days.
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contractor
Address lQ5 llnclis
ci ty[eQf nP o e Phone 4't z- cct,')
Supervi-sor License Number 3e go-s
Expiraiion Date I
Constr Contr. Nunrber
Expir:arion Da rc 12-l C-Cj
S igna t f Supervising Electrician
0vners Name r lnn ?ol
Temporary Services or Feeders
Insta]1ation, Al-teration or Rel-ocation
C
200 amps''or less
201 amps to 400 amps
-over 40L to 600 amps
-Over 600 amps or 1000-voITs
D. Branch Circui ts
0ne Circuit
Each Addi tionalCircuit or with Serviceor Feeder Permit
Pump or irrigation
Sign/0utline Light ing-
Limi ted Energy/Res _-
Limi ted Energy/Comm
$40
$ss
$eo
see
J:Nev, Alteration or Extension Per Panel L{a
$ 2.oo
s 40.00
$ 40.00
$ 20.00
s 36.00
t:JEl". rr(fJ --{ tJ
Add ress I
Ci ty Phone
OIINER INSTALLATION
The installation is being made onproperty I own rvhich is not intendedfor saIe, lease or rent.
0vners Signature
DATE:
RBCE
Miscellaneous (Service/feeder not ihcluded)
-Each installation
E
SUBTOTAL OF ABOVE
7% State Surcharge
3Z Administrative Fee
TOTAL
4O
RI]CEIVED B
p(5
Dl<ub,K
It
I s 3s.ooad