HomeMy WebLinkAboutPermit Electrical 1994-02-16SPRINGPIELDT ORBGON 97477 Z"t'ins--eC-
INsPECf,IoN REOI Esr: 726-p769 4*W 'ci tv Jo
oFPrcE: 726-3759
;,., ,.;.-,rsnou," hR3. eof,BLEf,LjEE
1. LOCATTON OP TNSIALIATTON ?,- iza r'z ;1trv?6 V "2'-
The lollowing projacl as submlttad hae the fol
zcning, and cioea liot require speci{ic land uso
225 PTrfTS STREEf,
approval.
IJGAL DESCRTPTION
JOB DESCRIPTION
P t are non-tiansferable and expire
if vork ls not started vithln 180 days
of lssuance or lf vork ls suspended for
180 days.,
SPRINGFIiLE)
BLECTRTCAL PERHIT APPLICATION
,b Nunber ?/alZ=
SCEEDT.ILE BELOU
A. Nev Residential-Single or
HuIti-FamlIy per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
-Hodular Dvelling
Servlce or Feeder
$ 8s.00
$ 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
s s0.00
s 60.00
s100.00
$130.00
$300.00
$ 40.00
2. CO}II"ACf,OR INSTALI.ATION ONI,Y
Electrlcal Contractor BUILDERS
Address 293 MONROE
Cl ty EIIGENE Phone 485-0gU
Supervisor Llcen-se Number ?9705
Explratlon Date t0/7/e5
. !!
Constr Contr. Number 04296 :'
Expl 'ration Date 12/10/e4
Slgna ture of s plectrician
200 amps or less
201 amps to 400 amps
-401 anps to 600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect Only
Temporary Services or'Feeders
Installatlon, Alteratlon or Relocation
200 amps or less $ 40.00
0ver 401 to 600 amps S 80.00
0ver 600 amps or 1bO0 voTis see "Bu aEIE
c
c,
Ovners
Address
nane 2 4t?Vu Lff D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit lS 35.00
Each Additional
Circuit or vith Service
or Feeder Permit _2 S 2.00
cttvE@a Phone2A-;4fr't
OSNER INSTALI,ATION
The installatioir is beirig made on
property I ovn vhich is not intended
for saIe, lease or rent.
Osners Slgnature:
DATE:
E Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation S
Sign/Outline Lighting- S
Limited Energy/Res S
Limited Energy/Comm S
ffi"
6.v
not included)
40. o0
40.00
20.00
SUBTOTAL OP ABOVE
5f State Surcharge
TOTAL
RECEIVED
5
^--o7-zc-77 /eaaa
stirrtN(;Frr:L1)
c
V
_l
'1:lll*i*fifrili
lc\lowir€
PTION
Pernrits are non*transferable and explre
i f vork is not started vitltln 180 days
of issrrance or if vork is suspended for:
180 days.
Ci ty Phone 312-11h
Supcrvisor License Number s
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
#
0vners Name
Add ress
u!9
ELECTRICAL PERHIT APPLICATION
City Job Number
SCTTEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Items Cost
L000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf 'd llome or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _
601 amps to L000 amps_
Over 1000 amps/volts
Reconnect 0niy
Temporary Services or Feeders
Installatlon, Alteration or Relocation
r.:.:,i;225 FIFTII STREET The lr u !1Ot
SPRTNGFIELD OITEGON
INSPECTION REQTIEST:
OFFICE: 726-3759
1 ON INSTALIJ
o
DESCRIPTION
97477 ,
72647'69
a-(;! "
^3 lelqs-
'::/.'i
A
Sum
J98t--
B
C.
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less $ 40.00
201 amps to 400 amps
-
$ 55.00
0ver 401 to 600 amps
-
$ 80.00
0ver 600 amps or 1000 volts see t'B'r above
Ci ty
OITNER INSTALI..ATION
The installation is being made on
property f ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
D. Branch Circui ts
Nev, Alteratlon or Extension Per Panel
one circuit S 35.00
Each Additional
Circui t or vi th Service
or Feeder Permit $ 2.00
E Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin s 40.00
$ 20.00Limi ted Energy/Res
Limi ted Energy/Comm s 36.00
STETOTAL OF ABOVB
5Z State Surcharge
TOTAL
Phone 1 7. bzVLT
;*;;---V Z
RECETPT
RIiCSIVID II
5
g:T
a
w
2. COIITRACTOR INSTALI.ATION ONLY
Erectricar con rro.r.o, hfu,l,t^ 6ru. /ftts!
marcss 7 0\ Jq//rv.riln Slre(l
Ll