HomeMy WebLinkAboutPermit Electrical 2001-07-31225 FTFTE STREET
SPRTNGFTELD, OREGoN
INSPECTION REQUEST:
OFFICE: 726-3759
The following proiect as submitted has
zoning, and doe6 not require specific
approval
Zoning
Date t ot
iY',[Y',l*o
Signature
726-3769
5!,ftrd{iFtELl}
land use
EI,ECTRICAL PERUIT APPLICATION
City JobNunberAI{OS,o-et
3. COHPLSIE FBE SCEEDULE BELOS
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Ineluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Sertice or Feeder
$ 8s.00
s 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
1 ONLOCATI3Q11
I,EGAL
a o>-DESCRTPTION-{;- y, oGb 6a Sum
ON
v tL-s-
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. COIITRASIOR INSTALTATION ONLY
Electrical Contractor
Addre
Ci ty Phone
t200 amps or 1
201 amps to 4
401 amps to 6
601 amps to 1
Over 1000 amp
Reconnect 0n1
amps _
amps
000 amps-
,s /voIts
v
E
40.00
55.00
80.00
ee trBrt affi
ses
00
00
$ s0.00
$ 60.00
s100.00
$130.00
$300.00
s 40.00
$
$
$
S
Supervisor Li Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Elect IEIN
Ovners Name
Address
City f lJy/i,t€i.i117 Phone 71y ?xuo
OI]NER INSTALIATION
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
c
200 amps''or less
201 amps to 400 anps
-Over 401 to 600 amps
-0ver 600 amps or 1000-?oFs
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional'Circuit or vith Serviceor Feeder Permit
$ 3s.00
$ 2.00
ErThe installation is being made onproperty f ovn vhich is not intendedfor sale, lease or rent.
0rners Signature:
Miscellaneous (Service/feeder not included)
-Each installation
DATE:5
{::r
RECETT'ED
OF
Pump or irrigation
Sign/Outline LightiLimited Energy/ResLimited Energy/Conn
40
40
$
$
$
$
ng
I
l}a
SUBTOTAL OF ABOVE/U State Surcharge
3Z_Admini.s tra tive FeeTOTAL