HomeMy WebLinkAboutPermit Electrical 2001-02-02CITY OF OREGON
The
Zoltl
apProval
Zoning
225 F].rtr STREET r)ate
SPRINGFIELD, OREGON 9
INSPECTION REQTIEST:
OFFICE: 726-3759
/o4 b *
INSTALLA
5(
TION1. LOCATION OF
T,EGAI DESCRTPTION
t 703 eLt j OafI-E--)
JOB
180 days.
2. COMRACTOR INSTALI',ATION OM,Y
Electrical Contractor lru
Address ,2X t
Ci ty I.Phone
LD(-
SPF|IN :LC'
ELECTRICAL PERUIT APPLICATION
City Job N*bet ot - C> (> o 7'3 *o
I
2-tot
ThlJrt rc signature
726-3769
3. COHPI.ETE FBE SCEEDTILE BELOV
A. Nev Residential-Single or
MuIti-FamilY Per dvelling unit'
Service Included:I tems Cos t
$ 8s.00
$ 15.00
$ 40.00
$ s0.00
$ 60.00
s100.00
s130.00
$300.00
$ 40.00
Sum
1000 sq.ft. or less
Eaeh add i t i-onal 500
sq. ft or Portion
thereof
Each Manuf'd Home' or
Modular Dvelling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
I
200 amps or less /
20i- amps to 400 amPs --401 amps to 600 amPS __-
601- amps to 1000 amPs-
0ver 1000 amPs/volts
-
Reconnect 0nIYSupervisor License Number 2D ^3 5?C-
Constr Contr. Number
Expiration Date .-20- a 2
of Supervising Elect
Vul -f R..
Permits are non-transferable and ex
if vork is not started vithin 180 d
oi ii"u.nce or if vork is susPended
plre
ays
for
an
* I ,[i r"k.
i
/L
B
C.
D
E
Expiration Date /D 'ZO - 0 I Temnorarv Services or Feeders
i"stuff.iion, Alteration or Relocation
200 amps''or less $ioi "*'p" to 400 amPs
-
t
Over 40L to 600 amPS
-
v
Over 600 amPs or 1000 volts se
Branch Circuits
above
00
00
00
llilB
40
55
BO
re.2/
Ci ty
Owners Name
Address &\o 2ls t st-
Nev, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or vith Service
or Feeder Permi t ?/
s 3s.oo
Misceflaneous (Service/feeder not included)
5. SUBTOTAL OF
7% state su
32 Admini.strative Fee
TOTAI
Phone b51 - 1329
$ 2.00
OVNER INSTALLATION
The installation is being made on
piop"tty I ovn vhich is not intended
for sale, Iease or rent'
0vners Signature:
DATE:
RECEIVED
OZOZA (
cr.fi1
use
-Each installation
Pump or irrigation ---Sign/Outline Lighting_-
Limited EnergY/Res
-
Limited EnergY/Comm
s
$
$
$
000q
OF