Loading...
HomeMy WebLinkAboutPermit Electrical 1997-07-16225 FIFTH STREET SPRINGFIELD OREGON 97 477 SPHrr.uFlELt) Ci ty Job Nunber (\f.G.. coHpr^gtg oo.E scEEDULE BELoll Thc lollowing Prolect as zoning and ooes not re submir':i l'-e the lollowing quiiu aPtiri'u !:'rJ Ugo BLECTRICAL PBRUIT APPLICATION INSPEC'IION OFFICE: 7 9 1 REQt'E 26-375 ON OF ST: a ervisor L seN approval. 726;3,W1kJq Authorized Signature, ALLATION o\c7)oo A. Nev Residential-Single or Multi-FamilY Per dvelling unit Service lncluded: 1 Cos t $ 8s.00 a le and expire hin 180 daysit of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY Items L000 sq.ft. or less Each additional 500 sq. ft or Portion thereo f Each Manuf'd Home- or Modular Dvelling SerVice or Feeder B. Servi,ces or Feeders Installation, Alterations or Relocation: D One Circui t Each Addi tional Circuit or vith Service or Feeder Permi t L Sum JOB DESCRIPTION Permits are non-transfer' if vork is not started v Electrical Contractor Add res s o fS F |,'\iF\ rn,f'\L Phone'l4l -AaTU umber I L y6,S t cit suP Expiration Date io- Consrr Conrr. Number O.4S4q Expiration Date q-l--91 S ture of Su pervising Electrician Ovners Name Address amps or less i amps to 400 amps _ amps to 600 amps _ 5o-,-qo 601 amps to 1000 amps_ 0ver 1000 amps/vo1ts Reconnect Only Temporary Services or Feeders Installation, Alteration or Relocation 200 amps''or less $ 40.00 201 amps to 400 amps - $ 55.00 over 4b1 to 6oo amps - $ 80.00 Over 600 amps or 1000 voTts see r?Brr a56G- Branch Ci rcui ts . .. Nev, Alteration or Extension Per Panel $ s0.00 s 60.00 s100. 00 $130. 0o $300.00s 40.00 200 201 401, insriutl dE dE $ is.00 $ 40.00 $ 3s.00 s 2.00 I C Ci Jflffi'5 JLt^ zz,tq ON The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. 0vners Signature DATE: RBCE E. Miscellaneous (Service/feeder not included) OVNER 4,e, -Each Pump o Sign/0 Limi te Limi te tal-Iation rrigation ine Lighting_ nergy/Res nergy/Comm $ $ $ $ 40.00 40.00 20.00 36.00 5 SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI,RBCEIVBD B s4 OC.r I^EGAL1r: \I I