HomeMy WebLinkAboutPermit Electrical 1998-9-14
The following project 88 submil1ed has the following
zoning, and does not requlre opecIl1c land use
approval. Ii
Zoning ~(./
225 FIFTH STREET ~
SPRINGFIELD, OREGON 9\119
INSPECTION REQUEST:AZ1n€ gnature f) (\/\
OFFICE: 726-3759
r JOB DESCRIPTION ..l_ __ _ 1000 sq. ft. or less
~\ 400"- ~. .MJt..<..L-- -t.... _~~.~. :!';F.~ Each addi tional. 500
o...dl..dl. ~ ~ 0, '.:.3' sq. ft or portIon
Permi ts are non- t ransfetlable and exp~i'1fe9M I SHALtlfefRj8E IF THE WORK
if ,:,ork is not ~tarted ,:,i thin 180",I?jl;Y5RiZED UN'~lrJ!gllliMrali1@.'Mbfr
of- Issuance or 1 f IJork IS suspendeB for u'Hodulaf'15'lJeIUng
180 days. COMMENCED OR 1'S~M"m.O~EDRee'aer.
. .ANY 180 DAY PERIOD.
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
\' Installation, Alterations
Electrical contractorDr-a,,,,, 0e.c:tr.. \pn/CU- or:.Relocation:
AddressYn.l3,...". ~_",~'.., ATTSP1TION'O 200 amps or less -----1- $ 50.00 ..<\D "'-'0
- fo!I' regCWlllvallljljlJiM; #fJ oamps I $ 60.00 t.O "'-0
Ci ty [:/{}n 0 ~'1tJ~ Phone<~..t%tIl~adoPtect.OJ1tlamli1fegOn€R~mps $100.00
. enter. TMie~~sk9f tamps $130.00
Superviso License Number ~~_952-001-0010~glA!:l~~ /)~_its $300.00
'. vu "cay obtai~"OO'!Jl IhB9ai/3 $ 40.00
Expiration Date Jrl- /_ ,.,,..., ca"mgtht;lcenter.(Note:thetele sby
"ulllUerrorthe O;egell'U\\l~~l\fc ~PP{lPces or Feeders
Constr Conn. Number......~S(<")(')( Centerisl-801r-332.:'2~4~t6iR~tl\l.'lteration or Relocation
Expiration Date q - (4 - CJ{) 200 amps' '01' less $ 40.00
201 amps to 400 amps S 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
1.
LOCATION OF INSTALLATION
~l~~ (Y"'\~
rJtJ1~~WTjOn)u () ()
Si~~ure of Supervising Electrician
. ~WlrL_ rtJeo.....-
,..:--
D.
F:<<:/~
OIJners Na~~ \ ~~., fG,,J
Address .?::,~, -y") A "*
Ci ty ~ ~.-D Q6,_Phone)WI~-14oa.-
OVNER INST~LATION -
The installaGon is being made on
property)"'olJh IJhich is not intended
for sale, lease or rent.
Owners Signature:
~ATE~---~~--- ~-~--------------
RECEI;;'! #: ' , J/;.-<;i'll "-
RECEIVED BY: -riA~ -
3.
ELECTRICAL PERMIT APPLICATION
~'.ty Job Nwnber q<::; II S /
NeIJ Residential-Single or ~
::::.~: ::::':~:"i L ~
Service Included:
A.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Branch Circuits
.'
NeIJ, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or IJith Service
or Feeder Permit
S 35.00
s
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee,
TOTAL
1\00.0
~ :so
'_:\, .,30
1\<;( ....0