HomeMy WebLinkAboutPermit Electrical 1997-10-22
y
.
. .
SP.GFIELD
, lng project as sub 'tted h
zoning, and do~s not reqUi'~"ecifi~rctnhdO f~"owlng
approval. . ~ .. u..o.
Zoning' Cu
225 FIFTH 'STREET .'~ N.OTfCfdo V.D- . /17
SPRINGFIELD, OREGONH9]'W~~fIhl'l"~~tl:J1~~
INSPECTION REQUEST,'UT?i7~rN69'N r- IMt: VVUHK (,;1'ty Job Number' Q I / 210 OJ
OFFICE: 726-3759 ,) U DER THIS PERMIT IS NOT ' *
COMMENCED OR IS ABANDONE3 .. COMPLETE FEE SCHEDULE BELOY ,
1. LOCATION OF ~~~<fi Dr-OR .
fiO 101 YY\i:4f'" S-!-;~R/OD. ,A. New Residential-Single or ,
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
IIOd.~ 14 Ib~ {n&o
JOB DESCRIPTION
-IJiKYlJ?O....~ ~.
, \f \J'
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT' APPLICATION
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'Dwelling'
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
~ . Installation, Alterations
Electrical contractor~~r~~,~~\~~\~ or Relocation:
Address;;;"\ I'::> O...J ' ~ G-- t::\ \.Ie... - I 200 amps or less
().' 201 amps to 400 amps
City_ t'\.A),"-"','f-, Phone'5-\~-\X \\ 401 amps to 60Q amps
601 amps to' 1000 amps
Supervisor License Numb~r ~~~ ~ Over 1000 amps/volts
Reconnect Only
Expiration Date IO-\-C\'t;
Constr Contr. Number 11:+5d.-
Expiration Date ~-<6 -~ Cf.
Signature of Supervising Electrician
I~d--~~
f/ners Name ~(l1A YY\IVL.I'Z.. ItS t<.J
Address ,Il..j.~ 1.J..2.i..lIQU,IJ1JbF
City 9Jl oL-rt.~ Phone-ygLl-/~
U
OIINER INSTALLATION'
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovner~Signature:
"
DATE: /P-).~-7i7
RECEIPT 11: .~/'6D<t
RECEIVED BY: Y\'u.....J
Cost
Sum
$ 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 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
40.00
40.00
20.00
36.00
$
$
$
$
~~O,-
,4, -
i I Ol.o
J/, <.j ~.cJ.D