HomeMy WebLinkAboutPermit Electrical 1996-05-23:;r )c;, l!:," al
Tho follcwing prdect as eubmltted has the following
iir"ing, ;.Jibeonot require epecffic land use
225 FIETB STREET
SPRINGFIELD, OREGON 97 417
INSPECIION REQUEST: 726-376
0FFICE: 726-3759
LEGAI DESCRIPTION
Address
ers Name
Ci ty
ciw 4ar/z@)- Phan
Supervisor License Number
Expiration Date
Constr Contr ' Number
Expiration Date
Si of SuPervising Electri
PERHIT APPLICATION
Items
1"000 sq. f t. or less
Each additional 500
sq. ft or Portion
thereo f
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or Less
201 amps to 400 amPs
401 amPs to 600 amPS _._-
601 amPs to 1000 ?mPs-._-over 1"b00 amPs/vo1ts
--Reconnect 0n1Y
C'
vnone lfu&Z:Sizo
INST rrory_s/ .
e
B
D.
approvel.
Authortzed
5/ 56SCi ty Job Nu;nber
BELOV
Nev Residential-Single or
Multi-FamilY Per dwelling unit'
Service Included:
L
3
A/7
Cos t
$ 8s.00
s 1s.00
$ 40.00
Sum
$ 50.00
s 60.00
s10o.0o
s 130. 00
s300.00
$ 40.00
$ 3s.00
.
s 2.00
er not included)
Address
TemporarY Services or Feeders
in=iiff"iio", Alteration or Relocation
2OO amps"or ress q 19'99;o; ;;; io aoo amPs
__- i ::'99o;;.15i to 6oo amps s uo:99 r-
0ver 600 amps or ibOO-vofts see ttgtt 3[ev€
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Servrce
or Feeder Permit
-Miscellaneous (Service/ feed
" -Ea.h installation
P,'mn or irrigation .---r ""'r 'ighting_Sign/0utI:'ne u
iii''i t"a EnergY /Res ---: r-il-lita EnergY/comm s
CTICTOTAL OF ABOVE
i;2" ii"t" Surcharge
'a?. "^lii"t s tra tive Fee
TOTAL
C
)(0n"
OVNER INSTALLATION
The installation is beirrg made on
Droperty r-o'n 'iliLn-
it ilot int'"bnded
'foi'i"rl, ]ease ot rent'
Ovners Signature:
-eg
$ 40.00
$ 40.00
$ 20.00
$ 36-oo
q
DATE
B
"E
2/ CtP---29ffi-
--7?6-=g+a-
JOB DESCRIPTION
lpus tr(F<e Stutzzry
Permits are non-transferable and expire
if rork is not started vithin 180 days
;; i;;;";"" ot if vork is susPended for
1"80 daYs.
2. CONTRASTOR INSTALIATION ONI'Y
Electrical contracto' DVArfb /A C '
o ?" {1=