HomeMy WebLinkAboutPermit Electrical 1999-01-05IGFIELc,
The following proiect as submitted has the following ELECTRICAL PERHIT APPLICATIoN
s nol require specilic land use
/-Dr?-Job Nunber 1 '1 \o
sr
225 FIFTE STREET
SPRINGFIELD, OREGON
INSPECTION REQTIEST:
OFFICE: 726-3759
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Zoning
TIONI OF
Signature
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LEGAL DESCRI to ?27o2
follow ES les are set forth
ic oAR952'001-
expi re
days
ed for
2. CONTRACTOR INSTALI^ATION ONLY
Electrical Contractor
Address .<Z-=, c-t*zt4* &b
Ci ty Q:Phone lpB( t?8S
sup ervisor License Number 3trO35
Expiration Da re DfUpt
Constr Contr. Nrlmber eO'-367c-
Expiration Da r. 4oL/91
Ci ty
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps _601 amps to 1000 amps_
Over 1000 amps/vo1ts _Reconnecf 0n1y
D. Branch Circui ts
E
FEE SCEEDITLE BELOV
sidential-Single or
Multi-Family per dvelling unit.
Service Included:Items Cost
ioo&{Pf,i&$ro, 1"""s 8s.00
Each additional 500
sq. ft or portion
rhereof $ 15.00
Each Manuf'd Home or
-Modular Dvelling
Service or Feeder S 40.00
Services or Feeders
Installation, Alterations
or Relocation:
(
-_t-Date
Sum
B
Tnc
C
50
60
100
S
s
$
s
$
$
00
00
00
00
00
00
Signature of Supe rVIS].
130.
300.
40.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps''or less S 40.00
201 amps to 400 amps
-
$ 55.00
over 4b1 to 600 amps
-
$ 80.00
Over 600 amps or 1bo0-voTts see rrBt' a66tE-
ng EI trician
Ovners Name Nn*u (\ooee
Address nbL\ t\, t-trt
Ci ty S*eld PhonefQl 4sot
OVNER INSTALIT1TI0N
The installation is being made on
property I ovn r'rhich is not intended
for sale, Iease or rent.
0rners Signature:
Nev, Alteration or Extension Per n"n"la_ 5r,
one circuit i s 35'oo ->-)'
Each Additional
Circuit or vith Service, ',-/ 5'or Feeder Permir I S 2.00 l-'
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Limited Energy/Res
-
$ 20.00
5 SUBTOTAL OF ABOVE
52 State Surcharge
3Z Admi.ni.strative Fee
TOTAL
DATE:
RBCE PT
RECETVED B
q3 d' L)
may
180