HomeMy WebLinkAboutPermit Electrical 2001-10-24
AOIIOWing project as submitted has the tollowlng .
.~g\ and dOGS not require specific land use
225 FIFTH STREET approvel. (' ~ . ELECTRICAL PERMIT APPLlCA TION
SPRINGFfELD. OREGON 9747~oning tot' /
INSPECTION REQUEbhie726-3769 ,f),Lffol '_":;. :..'. I;umhcl' O/-() / J 4 9 -0 I
OFFICE: 726.)7;9 nvplll,v
Authorized Signature ~j"i.t)~~c ~~i:. SCHEDULE BELOW
'. LOCApON OF INSTALL~TlOI\"
~t,(~ ,;'idl~/fiJ/~ /{/i.efa;r..
2. CONl'RACTOR INST ALLA TION ONLY B. Service.' 01' Feeders
1JA .;--1__ -..-f;... t ~ h In~tilJliltjf)n, Alterutions or
ElecrriC<ll'ConrfilClDlLjI'ifT t==/CL-/ /'f C/~c...Rclocalioll' .
Addl'ess/970 AJ. ~ ~ 200"",p,or]05' .'.
~ 71 i r . .l-7 2ar "",psto 400 amp'
City_ r. ,.."./l;;J.;rl<..:J ~111 lI",pS to 6UO amps
~ 6,: . GU 1 amps to 1000 amps
Sllp~rvisor License Number !:llL7 ~ :.. . Over 1000 amps/vol~s
I ' / Reconnect Only
Expiration Dale /0. - .. 0 "-f
Constr Contr. Number ../ d7:j;;;2.. .
")-,;;2.;A ....CX3
Oct-IS-Ol OI:43P
LEGAL DESCRIPTION
__17/?.B3:fl
01 "to 2--
~O~ I?1~S.RIP]}9~
/-Le.-tA)Z(L~~_
Permit:. ilrc'lIoiHHliisfcrabie !lIld expire
if work is not started within ISU days
ofisslIancc or if work is suspended '(I,
r SO days.
Expiration D:l(~
-:.Signatw"C uf SUJlcr\"i.~i"g Electrician
/lit; ~~~?::::!:
: OWltmName /l;, ll7'11A-W/l.
Addrm . 7.-7U Si=Nc:uJl
Cih' c:vl(,--- Phone
OWNER INSTALLATION
. " The installation is being ma:fe on
property I.ownwhich is not inrended
fue ~..-llc, (e<lse or rent'
. Owncn SiJ.:nature:
l:90:(j3IHS\!::J
: 39N\!H::J
gG.~9 $ G:0::J3(j 1W\!
WOG GG 1::J0:31\!0
9~OLOOO-l:O:#SN\!(j1
P.OI
A. New Rcsidcnti;I}-Sin~lc nr
Multi-Famit)' p~r d\\'cltin~ unit,
Service Included:
Items Cust
Sum
WOO 'q.fl. or less
Earh additional 500
sq. ft or portion
iherc;>i
E a.;h Mmlllfd Home or
Modulor Dwelling
Service or Feeder
5106.00
$ 19.110
$ oil.llU
$ 63.00
$ 75.00
$125.00
$163.00
5375.00
$ 50.00
C. Temporary Services-or F~tleni .
- InstaUatioD: AlteratIon or Relocation
. .
. ::. .200 amps or less
: " 20 Lamp, to 400 amps
:, OVer 401 to 600 amps:
. .
Oyer 600 emps or 1000 volts sec
"B" above
$50.00
$69.00
$100.00 .
D. Branch Circuits
New AlteI~tion or ~tension J'~r Panel
Oll~" Ci rciJit '
-.L S43.00 LId ~
Each'Additional Circuit or with SC')'iJ" ;'.:1 0 0
or Feeder Pe,mit +=-- $ 3.00 ~
E. j\-lisccllnncous" (Scnicc/feedcr not inclu ded)
. -E.sch installation.
Pl.lrilp or irrigation
Sign/O'.ltlillc LightiI\g
Li~niteu EllergyfRes
Limil,'.d Encrgy/Comm
$~O.OO
$~O.OO
525.00
$45.00
:'o1inimulII EI~cCric Permit Impcct!on Fcc i~ S:l~,OO + Slll'chargc.~
~. SUBTOTAL OF ABOVE
70/" State Surcharge
SOlo Adminbtl"3ti\'c F~c
55',00
d,C>S:
G)
TOTAL