HomeMy WebLinkAboutPermit Electrical 1999-2-28
" !t )IoOWlnb prvjttCl. a~ submitted h~.S the following
225 FIFTB STREET "("""~ ana dae. nat require specIfic land '4!t.ECTRICAL PERMIT [~CATT(!r:l0
SPRINGFIELD, OREGON 9747>~~loval (\" _ f"\
INSPECTION REQUEST: 726-3769 Zan~g \' ~- -, "!' Job Number I )
OFFICE: 726-3759 ~.~-.l\u
Date \~ b "vnr...:.1L lEE SCHEDULE BELOII ~
1. LOCATION OF INSTALI:A:t~zed Signalure \. .
Nev Residential-Single or
5? n />7",~ A. 'oW-'''''' eo' d~lno, oon. ..
~tj):~J)SW-JI?r,~() Service Included: Items Cost" Sum
l':.~: ,\.it:: c. Temporary Services or Feeders
~'''_ ___.'ITSHALoInsxtallallon"wA1teration or Relocation
. '" o' .' ,,/, L i: t-'IHE It- I HI:: ORK
Expiloation Date 7/16/99 AI :-:-',)RC~oD UNDl2.Qql-~-'!lpt~~~T~,es;t)T
",-..0" .. 201 allJp_s to 4,,0,9 amps
Supervisin~ E1ectri.c.ian1ENCl:D OR i:O';;iir,~40lNIt'O F600 amps
/>' . . _ \ ANY 180 DAY PERIC'Jer 600 amps or 1000 vo! ts
~/ "
OYners Name ./"..o/,/' /'7 '?/2~~/7j-
Address 51'2- 7- rha.LY' c::..t/l ~r
~ (("4 One Circuit
Ci ty . . . P llA Phone '7;?y .:z. G/'1 Each Addi tiona1
. Cir~8it or vith Service
OVNER I ALLATION uues~pUF~jder ~ermit . $ 2.00
. .'. , . 11 \a'l<lleq o!, \J\\\ n
The installation 1S be1Dg ma~el'lO!l'<l~O b'i\\'1etlle~:L~~~neous (Service/feeder not included)
property I ovn vnich is(~~r,irrlt~O selu\es~~~~~'~stal1ation
for "ale, lease or rpn'?\\o'l<lIU\es ll\etoi\'10 ou~\'10ipt\!\lluO'P'q,~rigation $ 40.00
\0 'liCa\iOllce ,.00'0\\'11 ies O\S~gB/Igl1~line Lighting $ 40.00
Owners Signa ture: NO\\ p..? 952.00 ob\aill CO~e' \\'1ef:.'i\\1,hWloEnergy IRes $ 20.00
ill 0 0 'ioull1a'i en\elo~NO 0\i\i\~m'-1l:ed Energy/Comm $ 36.00
009;;!';!:]? ~e C ~ ('\,C?qoll :32-2'344): .
----------------::;:-fr--{-\f"; L.:J.;" ef-'-'",,-:-,-:aoO-S. SUBTOTAl. OF ABOVE 3 50&)4'
DATE: ( Vr:I..'--t.lYI"I ,-..n,,\e~\s ~ SX State Surcharge 141 ~ (.t:?
RECEIPT #: I) 3% Adminil:trative Fee /.<7)
RECEIVED BY:!' 1/ TOTAL ??.Y<?
JOB DESCRIPTION
dFcp f'O/L Q/7'p--FL?Ffi.....
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Kome. or
Modular 'Dwelling
Service or Feeder
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
B. Services or Feeders
Installation. Alterations
or RcloeQtionl
Electric"l Contractor Able Electric
Address 5511 MAIN
200 amps or less
201 amps to 400 amps. .
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
RQconnQct Only
Ci ty SPRINGFII=I n Phone 726-6701
Supervisor License Number 30238
Expi ra t ion Oa te
10101(QQ'
Constr Contr. Number 92506
Si~ature of
A"" "cr'
Branch Circuits
New, Alteration or Extension Per Panel
/
$ 35.00 ]5'.00
D.
'$ 1l:l.00
$ 15.00
$ 40.00
S 50.00
$60.00
S100.00
$130.00
$300.00
S 1.0.00
$ 40.00
$ 55.00
$ BO.OO
see IrB"
above
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