HomeMy WebLinkAboutPermit Electrical 1996-8-1
G.,
S.tl:FIELD
The following project as oubmitted his the followin
zoning, end doe. not require epeoifio 'and uso
epproval.
Zoning /ft2:5L
Date 1.' I ''1JL
9747ilUthortzed Signature
726-3769. .
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATIONfAOF INSTALLATION
2'1. 7 5 J!.ItilY"l f)1:..
LEGAL DESCRIPTION
17(1;) '2.,U?:,~oo.:wb
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JOB DESCRIPTION
t?t(1(tl?f_ . a:m vQJY<S 1/9-vL.-
per~ts are non-transferable and expire
if vo~k is not starte~ within. 180 days
of issuance or n vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Con trac tor J:"" LA-8A......."" " h"a-A.: '-
Address 22.. i~- W.2..2.. Ave.
City {.J,~ Phone 312. -S~~I
Supel'visor License Number t/./ 41 S
Expiration Date {.!J ~ '1 ~
Constr Contr. Number 10<.. 315
Expiration Date $-11-'/11
~~ture ~f.Supervising Electrician
\,~' rlJA-1~ 7- ..
OwneLts Name .fWrvk...- ff1)fb/Y'"
Address 'is) ltYl1UtVI.l'Q 1 RIve!
City ~e\ Phone 7'-'tf-~'195'
OVNER INSTALLATION
,
The installation is being made on
property I ovn whiCh is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:. 7-31-10
""''''''.I.i'f lI: 2..2 fn q i..
RECEIVED BY: LV_
V;)'V\
,
ELECTRICAL PERMIT APPLICATION .
, . ~{6. i:}(:,'1::)":;' t1.I~1f\lLP
Ci ty Job Numbel.'-- I -r cJ
;;;:;;;;:;;;i;;;:;;;;;:~:"i'. ~
Service Included: ,~
3.
A.
Items
1000 sq.ft. or less
Each additional 500
sq.. ft or portion
thereof
Each Hanuf'd Home, or
Modular. 'Dwelling
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
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
Cost
sum~
5tj~
'f
$ 85.00
$ 15.00
$ 40.00
$ 50.00 .'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation,Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
. E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
.'
$ 2.00
not included)
. !.
$ 40.00
S 40.00
S 20.00
S 36.00'
'OS.OQ
1.(. :.\'5.
:2, 55
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