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Home My WebLink AboutPermit Electrical 1994-04-21C'TY OF OREGO'U 0PPICE: 726-3759 1. LOCATION OF INST r, OREGON 97477 REQUEST: 726'1769 Authorized SPFtt :IELO u8e A. Nev Residential-Single or HuIti-FaniIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or -Hodular Dwelling Servlce or Feeder s Bs.0o s 1s.oo s 40.00 B Services or Feeders fnstallation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amps_ Over 1000 amps/vo1ts Reconnect 0nly The following project as submitted hr the zoning, and does not require specific land approval. % 225 PIFTE STREEf, SPRINGPIELD INSPECf,ION , zonins iO ELECTRICAL PERXIT APPLICATION 4-z-t<City Job Nurnber q+0//z- N.t*PI.ETB FBE SCEEDTILE BELOV ALI..ATIONEtl *- /5 JOB DESCRIPTION€ezttt rn- I r$d 7s Address /3cl f4o*PW city €u'1 Phone 5'{t-Zqb t Supervisor License Number /o7> g Expiration Date 5 Constr Contr. Number 4a zaa Expiration Date Signature of Supervising Electrician Ovners Name Address Ci ty Phone ALI.ATION The installation is being made on property I own vhich is not intended for sale, lease or rent. Orners Signature: DATB: Temporary Services or Feeders InstaIlation, Alteration or Relocation Sum 40.00 55.00 80.00 ee I'B" a6ove s s0.00 s 60.00 $100.00 s130.00 s300. 00 $ 40.00 c 200 amps or less 201 amps to 400 amps -Over 401 to 600 amps 0ver 600 amps or 1000 voTEs $ $ s s s s s s D. Branch Circuits Nev, Alteration or Extension Per Panel one circuir I S 35.00 Each Addi tional + Circuit or vith Service or Feeder Permit - $ 2.00 Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/0u tline Light ing_ Limited Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOYE 5tr State Surcharge TOTAL V E .00 .00 .00 .00 40 40 20 ,1 1 , /\ r,\€(RBCEIVED 5 36 J-A I.,EGAL DESCRIPTION " ', -yvF, @- Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COITI?ACTOR INSTALI.ATTON ONLY Electrical Contractot eU'7€' /t* Ezec.//c t lo, ?5 -- C'TY OF OREGO'I' SPRII .-IELD )wing project as submitted hao the foili and doos not require specific lanci use dfr 225 PTTTfl STREET SPRINGFIELD, oRBGoN 97477 INSPECTION REOUEST. 726-3769orrlce, 726:4759 BI^BCTRICAL PERHIT APPLICATION City Job Nunber q+b // 2- |3.'MOOHPLETB FBE SCEEDULE BELO9 A. New Residential-Single or Multi-FaniIy per dvelling unit. Service IncLuded: I tems Cos t s 8s.00 (C- l - zt' q1 1. LOCATION OP INSTALI.ATIONl07tlflrtAz'rE- &.o c z- I.,EGAL DESCRIPTION Sum Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contracto Ery Address 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Hanuf'd Home or Hodular Dvelling Servlce or Feeder B. Services or Feeders InstaIlation, Alterations ,rfur,qf,[ Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amps _601 amps to 1000 amPs_ Over 1000 amps/volts _ Reconnect 0nIY c JOB DESCRTPTION '( €t-t'(*T-e-(.qst< Ci ty ?-u q *. @ ?_ Phone ,uo"*"o[ rr""", q-I s 1s.00 s 40.00 s sc.00 $ 60.00 $100.00 s130.00 s300. 00 $ 40.00e Number l)q 2 S Expiration Date 5 Constr Contr. Number Q oUOO Expiration Date Signature of Supervising Electrician 0vners Name Address Ci Phone OgNER The installation is being made on property I ovn vhich is not intended for sale, Iease or rent. Ovners Sigaature: DATE: Temporary Services or Feeders Installation, Alteration or Relocalion 200 amps or less 20L amps to 400 amps -Over 401 to 600 amps Over 600 amps or 1000 voT[s 40.00 55.00 80.00 ee ItB" aSove $ $ s s s s s $ r D. Branch Circui ts Nev, Alteration or Extension Per Panel oneCircuit \ S35.00 Each Addi t ional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not incltrded) -Each installation Sign/0utIine Lighting_ Limited Energy/Res Limited Energy/Comm SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL b 40. 40 00 00 00 00 20. 36. 5 RBCBIVED *? C'TY OF SPR OREGO'U SPRIi.( ELO 225 FTFryE STREET SPRINGPIEIl)oREGON 97477 approval.not require specific land Zoni Ca/ 3 EI.ECTRICAL PERHIT APPLICATION City Job Nunber 7h//z- SCEBDIILE BELOV Nev Residential-Single or MuIti-Farlily per dvelling unit. Service Included: I tems Cos t 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Hodular Dvelling Service or Feeder s 8s.00 s 40.00 Services or Feeders InstaIIation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -401 amps to 600 amPs _ 601 amps to 1000 amPS- 0ver 1000 amps/vo1ts Reconnect 0n1y 00 00 00 00 , INSPECf,ION REQUBST: 726- OPFICE: 726-3759 1. LOCATTON OF INST LEGAL DESCRIPTION JOB DESCRIPTION .atffi permits are non-transferabLe and expire if vork is not started vithin 1'80 days of issuance or if vork is suspended for 180 days. 2. COIiITRACTOR INSTALI.ATION ONLY Electrical Contractor e:LGaN€ eL-eC ' Address I vo€ Ci ty Phone 1 -3{Z Supervisor License Number to<t9 Expiration Date Constr Contr. Number 4oz.oz> iration Date t7 A Sum s 15.00 B Exp Signature of Supervising Electrician Ovners Name Add ress Ci ty Phone OSNER ALIATION Temporary Services or Feeders InstaIIation, Alteration or Relocation 200 amps or less $ 40.00 201. amps to 400 amps - $ 55.00 over 4b1 to 6oo ambs - $ 8o.oo Over 600 amps or lbOO voTts see rrgrr "[fr[- Branch Circui ts Nev, Alteration or Extension Per Panel C s s0.00 s 60.00 s100.00 s130.00 $300. 00 s 40.00 D! The installation is being made on property I own vhich is not intended for sale, lease or rent. Orrners Signature: one circuit '^ s 35'oo Each Addi tional Circui t or vi th Service or Feeder Permit $ 2.00 E. fliscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/OutIine Light ing- Limited Energy/Res SUBTOTAL OP ABOVE 5Z State Surcharge TOTAL s $ $ $ 40. 40. 20. 36. C? 5 DATE: RECEIVED 2r'-z ,/z*rt I CITY OF OBEGO'U SPI ,GFIELD 225 FTrIB STREET SPRTNGFTELD, OREGoN 97477 The foliowinq pr.ojoct ?:,:Ji*t3: Jffi.f ffi uinnr car PERHIT APPLICATIONzcnin; u|ir; does not approval. INSPBCTI0N REQITBSTz 726-3769 Ci ty tuJob Nunber OPFICB: 726-3759 1. LOCATION OP LBGAL DESCRIPTION -2 Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CO}TTRACTOR INSTAruITION ONLY 2o c_ Electrical Contractor Address 2 7{ci e \cl(-bn I Supervisor License Number lola s Exp iration Date LD -,-1< :! Constr Contr. Number c)cZod Expiration oare Sf t?ll U Signature of Supervising Electrician 0vners Name Address Zo I tnt Ci ty OVNER INSTALI..ATION The installation is being made on property I ovn r.rhich is not intended for sale, lease or rent. Owners Signature: DATE: r,.,=)lJq,l4L/ 3. C0HPLBTE FEB SCEBDULE BELOII i:i i;;, i;i'; rr; _*_A-_ Ney .Xesi_den ti a I - S i n 91 e o r c4otB- 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 Modular Dvelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 Sum B. Services or Feeders Installation, Alterations. or Relocation: c. D. Braneh Circuits la<- 200 amps or less 201 arnps to 400 amps -401 amps to 600 amps -601 amps to 1000 amps_ Over 1000 amps/volts Reconnect 0nly Temporary Services or'Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 600 ambs - $ 80.00 Over 600 amps or 1bO0 voTts see rrB* a5ffi 00$ so. $ 60.00 $100.00 $130.00 $300.00 $ 40.00 E Nev, Alteration or Extension Per Panel One Circuit I $ 35.00 3, Bach Additional Circuit or with Service or Feeder Permit 5- $ 2.00 p Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation _Sign/OutIine Lighting_ Limited Energy/Res STETOTAL OP ABOVB 5Z State Surcharge TOTAL $ $ $ $ 40.00 40.00 20.00 36. 00 RBCEIVED 5 JOB DESCRTPTION ,rh-un"re '" 4ao ltl,'4 )a C,ITY OF OFEGO'U SPT!NGFIELE, Offi ce: INSPECTION LINE: 72.6-3759 726-3769 BACKFLOt,l PREVENTION DEVICE PERMIT APPLICATiON CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Street Springfield, 0regon 97 477 Job Locat'ion : Assessors Map #:{? o.)z 5t= 0wner: Address:(? City: L gna Tax Lot #:CDU l-b V/ Phone #: 1 State z 6V-+a Zi p ,q 1_(t12 Backflow Permit is $15.00 + $0.75 State Surcharge Contractor: Address:.L ne #: lo F3-t4 44 City:State:0rL-Zi /)- Ipt 7 /!CV Construction Contractors Reg'istration #iibq6 'xPires: By s'igning this permit/appf ication, I agrgg to call for an_ins_pection once the bickfiow [revention devic'e has been installed and is visible for inspecllo! (726-3769). I also state that all information on this application/permit is correct. 3- a FOR OFFICE USE Date of Appl i cat'ion:7--b -"i4 Job #:4tlo (rz_ Receipt #:Issued By: Total Amount Collected:615 ff, llc -Y