Loading...
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