HomeMy WebLinkAboutPermit Electrical 2001-9-24
Aug-24-01 09:42A
IfollOWing projeCles submitted has Ihe following .
lng, and does not require specific land use
225 FIFTH STREET approval. ,. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGO:-l97477 , I C.V
INSPECTION REQUEST: 'i26.Jg~ n7' q!;).c.{ /01 Cit)' Joh Numhcr tJ f - (}(J q J.r- () J
OFFiCF.: 72(,.3759 Date' .
. , ,Authorized Signature ~LETE FEE SCHEDULE BELOW
I. lOl:ATION OF INSTALLATlOIi ' r.. i :
.~ 1.-\ ~ l.-t M r..i "" ... I- 'S-9.....' \~e,\(lA. Ne\\' Re,idcn!illl-Sin~le or
1\111l1i-F;unil~' fler dwelling unit.
LEGAL DESCRIPTION 60 c,_\ Service Included:
....1..' . 0 i'. .3 C:..._3.L__ 0'" U
P.OI
Itellls
COSI
Slim
JOB OESCRIT'TIO'
..~ \ '1'" (\ ....V\,J.Ae..c.1-\C-:.'"
1000 sq.ft, or less
E,lCh :-lddilionnl SOO
sq. ft or pcrtion
tlmeof
Each Manufd Home or
Modular Dwelling
Ser\'ice or Feeder
5[01'.00
Permits me non-trnnsfcT:.!ble and expire
if ",,."ork is not started within 180 cLl)'s
of issuance or if work is suspended for
1 SO days.
5 19.00
2. 'CONTRACTOR INSTALLATION ONLY B.
EI,clricalContruclor {\A 'i2.I2-IL Vz. l:;:. 1.-6L -
Scrvkc.ti (lr Feeders
. Inst:lllutiDn, Alterations or
Nelcctltion:
_'~o*
Address 1<;93'z..
Cit)6 >'::1'=\ V
DW l.l-8"<\<X <.J-.
Phonet::D'11;L15-'5'llo I
200 alnN or less."
20 I mnps La 400 amps
40] :1mps to 600 amp'
~l) 1 mllp 10 1000 amps
Over 101)0 .mpsivolts
'. Reconnect Only
. $63,00
_$75.00_
$125.00
SI6J.CO
5375.00
$ 50.00
S"permor Li~~nsc Number 7_"2-q5'~
Expirdtion.Datc
IDIOj'
, ,
: .".... ,.'-.'
Conslr Contr.Nu;nber 1 <-olt,c1:
Expim,ion DaLe 21'71 c"io:: '
C.TempOl"dry Service. or F..lI.rs'
InstitllntioD, Altcriltion or Relocation
sm. 'lt~"eof S~l'enl'ing Electrician
f)f '~
. "---'" -----
'Owners Name ~ ~'.L m..JLt-
"i\d(jr~ss .~<.it.l4-~ Sr-
.. ".
. ," 200 ,a.mps at less'
,. 201 a~ps,to 400 amps
"'Over 40110 600,amps '
Over 600 "mps Or 1000 volts see
"[3" abo\'~
S50.00
$6~.00
$100:00
D. Br:Jnch Cfrcuits
Kew AIte.ration (If Exte:/s:oll Per Panel
One C.ircuit
$43.00
'cit)~~
Phone
E;acl,1Additional Circuit or with Service
or Feeder Penni! $ 3.00
OWNER INSTALLATION
The installation i.s being made on .
propen:" J own which is not intended
fot ~<'lle, lease or ren!. '
E. ilrliM:t:ilane.JuJ (SenicclfecJt:r not inclutleLl)
.Each installation
Puir.p 'or ir~gation
Si~niOutline Lighting
limited Encrg)'lRcs
. limited Energy/Conun
$50.00
--L $50,00 (;0:-
$25.00
$45.00
. O,,:ners Si~nature:
Minimum. Electric P~rmit JMllcctinn Fe:: i.\ S45.OfI + Surcharges
~. SURTOTAI:OF ABOVE
7% St.tte SUNhilree
8% Adminish'ath'c Fcc
TOTAL