HomeMy WebLinkAboutPermit Electrical 1993-11-19as submlttd hmthe
225 FIYTE STRBBT
The followlng Prolec't
zoningl and does not require specific land
SPRINGFTELD, OREGOSI 97 47jzt,:Lrt,'t::i CINSPECTT0N $EOUEST:0FFICB: 726-3759
726-3769
- lr-)s."\Ez I a-]-t-73
SPFIT,{GFTELO
u3e
EIJCTRTCAL PERXTT APPLICATTON
City Job Nunber 3/fi-
COHPI.ETE FEE SCEEDT'LE BBLOII
D',''l'
IJGAL
Nev Residential-Single orHulti-Fanily per-dvelling unit.Service fncluded:
Items Cost Sum
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for180 days.
JOB DESCRIPTION
Constr Contr. Number a:-rcttL
Expiration Date *
Signature. of Supervising Electrician
0rners Name
Ci ty Phone 6s 3- ?€37
OSNER INSTAI,I.-ATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
Osners Signature:
DATE:
1000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf,d Home or
-
Hodular Dvelling
Service or Feeder
Services or FeedersInstaIIation, Alterationsor Relocation:
2. CONTRACTOR INSTALI.A,TION ONLY
Electrical Contractor -ST[t./(Ei-ea71716 ,O,
Address ?',_{82-
City ZT.<r-*r_Phone_j:rS_-B€rq7
Srrpervisor Li cense Number i j.7 lS
Expiration Date /o /F_{
s 8s.00
$ 1s.00
$ 40.00
s0. 00
,50. 00
I 00. 00
130. 00
300. 00
40.00
rt
B
c
200 amps or less / $201 amps to 400 amps
-
S401 amps to 600 amps ---
S601 amps to 1000 amps- S0ver 1000 amps/voIts
--
$Reconnect 0n1y $
="
tc (Temporary Services or'FeedersInstallation, Alteration or Relocation
200 amps or less $ AO.OO
201 amps to 400 amps
-
S 55.000ver 401 to 600 amps $ B0.OO
Over 600 amps or 1000 volTs see rrgrr
"f,frf-D. Branch Circuits
Nev, Alteration or Extension per panel
E
One Circui t S 35. OOEach Addi tionalCircuit or vith Serviceor Feeder Permi t / g 2. OO . Z. ,: u
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting
Limited Energy/Res
Limited Energy/Comm
STTBTOTAL OF ABOVE5f State Surcharge
TOTAL
s
s
$
$
00
00
00
00
40.
40.
20.
36.
5
RECEIVBD
CITY OF
{u_ {a
1
3:CD
3 ' ', l 'iZ"
Address /i;co nlrc sft
5z- "u----; 7d-