HomeMy WebLinkAboutPermit Electrical 1994-07-12225 TIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUBST:
OFPICE: 726-3759
97 477
7
Ar.nhorized
1.ON INSTALI.ATION{
LEGAL DESCRIPTION
..,
JOB 40, 6div.b$ el( "?e
Permits are non-transferable and exy'lrre
if work is not started vithin 1'80 days
of issuance or if vork is suspended for
L80 days
2. COMRACTOR INSTALI,ATTON ONLY
Electrical con t.r^"rrt $fr,jgL9 e{frK{
Address f,O,AOx l+<
}€xreL Phone
senri(crlrlo
BLB TRICAL PER}IIT APPLICATION
Job Nunber
COHPI,BTE FEE SCEBDUI.E BELOS
Nev Residential-Single or
MuIti-FamiIy per dwelling unit.
Service Included:Items Cost
$ 8s.00
h
L
3.
A.
c
Sum
Supervisor License Number Mq 9
Expiration Date ytr tr
Constr Contr. Number Q bzz-o
Expiration Date ,-{s-qb
Signat of rvls Electrician
0vne,rs, Name Soutr)BAKU\
Address f o sx TtZg
Ci ty Phone 6 EE r4z7
Ovners Signature:
DATE:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
InstaIlation, Alterations
or Relocation:
200 amps or less I20L amps to 400 amps _401 amps to 600 amPs
-
601 amps to 1000 amPs_
Over 1"000 amps/voIts
Reconnect Oniy
200 amps or
201 amps to
0ver 40L to
0ver 600 amp
Temporary Services or Feeders
Installation, Alteration or Relocation
$ rs.00
$ 40.00
B
Ci ty
s s0.00
s 60.00
$100. 00
$130.00
$300.00s 40.00
40.00
55.00
80.00,e rBrr
-^
ps
less
400 am
600 amsorl
$
$
$
Sove
Lps
000 Tofts se CL
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.oo
$2 00 4Po
B. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/0utline Lighting-
Limited Energy/Res
Limi ted Energy/Comm
-
Circuit or vith Servi
or Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
3% Administrative Fee
TOTAL
54 ,o,
-zZT
-T
ceZOVNER INSTALI.,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.40.00
40.00
20.00
36.00
$
$
$
$
<q-32-
OFF,.GCF.lCITY OF SPR
RECEIVED
a L-?5
,-72-
DESCRIPTIONgu\VCI %tn
One Circui t
Each Additional