HomeMy WebLinkAboutPermit Electrical 2001-07-10CITY OF SPRINGFIELD, OREGO'V
approval
Zoning
Date 1225 FTTfx STREET
SPRfNGFIEIJ' OREGON 9TtilInorizea Sisnature
INSPECf,ION REQITBSTz 726-3769
OFFICE: 726-3759
City Job Number c:l-oo-7oL-ol
3. COUPI,SIE PEE SCEEDTII,E BELOI'
A. Nev Residential-Single or
Multi-Fanily per dvelJ.ing unit.
Service Included:Items Cost
SPR. -iFIELE'
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit Z I
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
PERI{TT APPLICATION
Sum
DEVEL1PMENT sERVlcEs Sfiffeftflifff roject as submitted has the tollowing
zoning, andloes not require specific land use
1
IJGAL DESCRTPTIONt10i z L'\7 o t 903
JOB DBSCRIPTION
SE(C ,Q{
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,A:TION ONLY
Electrical Contractor
Address 3:-l.ft U n4e^fiE
Expiration Date lo-
o Supervising Blectrician
I,OCATION OP INSTALI,AION/-5<t Lr^ s f
QA
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Eome or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less Z
20L amps to 400 amps _
401 amps to 600 amPs -601 amps to 1000 amPs_
over 1000 amps/volts
Reconnect Only
c
ss0
$oo
$1oo
$130
$300
s40
/DO.00
.00
.00
.00
.00
.00
Ci ty C,..* ,-*1\ Phonel>fi'
Supervisor License Number
Expiration Date /O -[ *O\
Constr Cont r. Number ) O J)q C-
Temporary Services or Feeders
Installation, Alteration or Relocation
200 anps or less
201 anis to 400 anps
-Over 401 to 600 amps
O..,er 600 anps cr fOOO voTts
00
00
ee nBr a56G-
$
$
$
s
$
$
$
$
40
55
80
00
Ovners -T /v1
D. Branch Circuits
Nev, Alteration or Extension Per Panel
Address /s53 L+F s
Ci ty SP F I Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
ovners Signature:
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limited Energy/Res _Limited Energy/Comn
5. SIIBTOTAL OF ABOVE
7%, state Surcharge
32 Administrative Fee
TOTAL
$ 3s.00
$ 2.00 LI Z
40
40
20
36
C{
C:
00
00j' ,
00
00,
,7
DATE: 1
(3F
(3rf,
H(;)
*.1t.-lF.l(]RECBIVED
D
$ 8s.00
s 1s.00
$ 40.00
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