HomeMy WebLinkAboutPermit Electrical 1995-10-9
.
.'
SPRINGFIELD
Th. lollowlr.g proJocI.. ,"t<n:t1oo hsS tl1<l following
.~oninD end ,jOC'-3 not r(lo=1u\r~ ~~;tftc le.nd use
225 .FIFTH STREET 97:4"1'07.0;"1.' .fIt) ) ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON P r/V fL/
INSPECTION REQUEST: 126-3169"il:\1....-:a- City Job Number '1.'::>1 ~9 I
OFFICE: 126-3759 O":.__J~jqlg:2 3.
1. LOCATION OF INSTALllA'l1IONd Signature vI1
"9-=3~,~~/"';-~- v-- ,??_ ~ A.
LEGAL DESCRIPTION
~::r~'2~~/,d)/~::5
JOB DESCRIPTION
~~~ r~~ ~...c>~~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
New Residential-Single or ~
::::::::m::: ::~::::l:::O:nit. ", ,
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder
Cost
Sum
$ 85.00
~~,~
$ 15.00
-45,C>C
$ 40.00
2. CONTRACTOR INSTALLATION QNLY B. Services or Feeders
IJ ,r: / ':()--:I- Installation, Alterations
Electrical Contractor On 11 n'7tU-JC.YJldA~ ~ or Relocation:
Address) S<[)
rL "f ~ hI-v l{ Ii w-
Phone b$ q 7,n
,
/j q:z.., 5'
City (-:::v'\<-~'-
,
Supervisor License Number
Expiration Date 10- I - 'lift
Constr Contr. Number '3 /,.,. J.-7~
Expiration Date f-)'5"-~
Signature of Super~ising Electrician-
1'UJ-J f-,w}vV' MJJI~
. , . D
. Owners Name r;1.7Z'~~,4~~ .
Address ~~'3~~ ,~.N?2M.
City~ Phone~~_::v-;;b
OIINER INSTALLATION (
The installation is beiri~\made on E.
property I own which is not intended
for sale, lease or rent. ~
Ovners Signature:
---------------------------------------
DATE: J.t!?~ 9.,!! S-:'
RECEIPT 11: /~~~
RECEIVED BY: /" ~~ ,.'
'r
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or'peeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00 40ea
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
II
One Circuit $ 35,00
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL'
$ 40.00
$ 40.00
$ 20.00
$ 36.00
110'~
l'l,~
~..o
183,leQ..