HomeMy WebLinkAboutPermit Electrical 1996-03-04ii3,ff#ffi5i3;*0has submittsd hasrequire225 FIFTII STREET
SPRINGFIELD, OREGO}{ 97 477
INSPESTION REQUEST .. 726_37 69
OFEICE: 726-3759
LOCATIOI{ 0F INSTALUTTIOI{
2350 Yofanda
IJGAL DESSRIPTION
Yolanda E1em. School/7a3 24 4t 03 oo z-
JOB DESCRIPTION
Electnicaf & Communications upgnade
?ermits are non-transferabl-e and e>:pireif vork is not started vithin i80 days
of issuance or if vork is suspended for
i80 days.
Constr Contr. Number 63252
APPLICATION
Job liumber
SCEEDULE iiELO'tI
den t ial-Singie or
Er^Ei'l J!'^'] 1 .9 -- ..n.i s-: cl;lr-) ;igt uhs--:..5
3e i_:lc1uc eG :
Itens Cest
s 1s.00
Data
n
A Nev R
V', ''l r .i
2.. C0NTRACT0R INSTALIATION ONLY B. Services or Feeders
InstaIIation, Alteraticns or
il-ectrical Contractor Mc Pheetens Efectnic Co.Rel-ocation:
AddressP.O Box 10796 200 amps or less 3
201 amps to 400 arnps '1
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 arnps/volts
Reconneet 0nly
City ruqene 9744Q Phone 344-5594
Supervisor License I'ldmber 33505
Expiration Date '10-1-98
lirirr-r ^^ it ^- 'r^^^lvvv J\] . ! L. UL rcrr
Each additionaL 500
sq. ft or poriion
t hereo f
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
(. a< nnV vJ. vv
p +U. UU
Temporary Services or Feeders
lnstallation, Alteration or Relocation
150---::-
OU
$'s0.00
$ 60.00
$100.00
$i30.00
$300.00
s 40.00
Suri:
above
C
Expiration Date
Signature of Su rv1s1n c t ri eian
1-16-97 200 amps o
201 amps t
0ver 401 t
0ver 600 a
r
o
o
less $
600 amps _ $s or 1000 vclts s
40
55
.00
.00
nn
ilBil
BO
ee
Ovners Na
Address
School Dlstnict 19
Ci ty Spninqfield Phone
OI'}TER INSTALI,ATION
The installation is being made on
property I ovn !'hich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
RECEIPT *:
mp
D. Branch Circui ts
I'Iev, Alteration or Extension Per Panel
One Circuit
Eaeh Addi tional
Circui t or vi th Servi ce
or Feeder Permit oo
s 3s.00
$ 2.00 12o
l"{iscell,aneous (Service/feeder not ineluded)
-Each install-ation
Mi11 Stneet
Pump cr irrigation
Sign/0utIine Lightirg-
Limi ted Energy/Res
Limi ted Energy/Comm
SUBTOTAL OF ABOYE
5X State Surcharge
DO0AL 3% Admin.
Total
s 40.00
$ 40.00
s 20.00
s 36.00
306. OO
36
5
'18.30
1
RECEIVED BY:5. 83
q4