Loading...
HomeMy WebLinkAboutPermit Electrical 1998-5-5 . , SpAF'IIILO Th... followtng pro)"'" as submitted hM iho> fe!lowlll1?J zoning, and ~es not require specfflc lend u:m epproval. ,~(; , Zonin~ 225 FIFTH STREET Dale' 0 r^- SPRINGFIELD, OREGON 97477 A r' INSPECfION REQUEST: 727;>!:3769ignature OFFICE: 726-3759 " :"I')LOCAT:j:ON OF INSTAL~N - ,...,,~;..J,'t ~ I'0f) t.1\ - , ' LEGAL DESCRIPTION ' \'lO~~\?'\ ()'lfY)O JOB DES~PTION ' , \.r.\\Th fiLL-! l'lL'O'NVI > ~ ~OJ\D.1\5L-- , l\ ,,' Permits ar\)non-transferab and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. ' CONTRACTOR INSTALLATION ONLY' '. ' h , ,B. trical Contractor ~, ,/ City ELECTRICAL PERMIT APPLICATION . -City Job Number (\ <AD4U 0 Nev Residential-Single or ~ ::::.:: :::::':~:'iL ~.' ' , Service Included: ' 3. A. 1000 sq.ft. or less Each'additional500 sq. ft or portion thereof ' Each Manuf'd Home, or Modular, 'Dvelling' Service or Feeder Services or Feeders Installation, Alterations or Relocation:' , 200 amps or less 201 amps to 400 amps 401 am~s to, 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Items Cost Sum '" Phone/ '" ./ Supervisor Li~nse Num~,r Expiration Date~~ /"- Constr Contr. ,Number" /' EXPirati/on D~te' ~ 200' amps';(n;~S , ", " 201 argpM~'ll' 4.p'~ amps Signature of Supervising EleC~ician ~~~~Ol~"\~~~b amps - / x: ~\.'tI~r ~~"'a~or 1000 volts / ,,~C . ~ S~~ \~\S r\~~f:) TV' , \ r [\\, ~v Q\:.~~" ~~\l~r~I))'Circui ts ,OvnersName ~u1\.- \.')L\Sl)'(\ ~~\S'? _f'\1..~\l ,,~\~,I-\" (11;;.1\ n Vu _' 'rr i>J. ~\l\J N~, Alteration or Extension Per Panel Address v:...).LL IT\l\ 0 r\ .~~ .~~~G, ~,?~'ill ~'~.l \ Un ":1 ' .' ~l,)f:)l" One Circuit '$ 35.00 Ci t_ ~, Phone 01:>'1' '( '\ Each Addi tional Circuit or vith'Service I ' rJ, o R INST LATION' or Feeder Permi t ' $ 2.00 -4- $, 85.00 $ 15.00 't 80 $ 40.00._ $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C., Temporary 'Services or Feeders Installation, Alteration or Relocation The installation is being made on E. property I ovn vhich is not intended ~or sale, lease or rent. ovnerS;;'~~igna tur\~ ' , ~_~~)h..... D~~~~----_\~~~t:t~-~----------~ 5. , RECEIPT #: ,I,' ~ RECEIVED BY: ',~~ $ 40.00 $ 55.00 $ 80.00 see "B" above , ." Miscellaneous (Service/feeder -Each installation Pump or irrigation , Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5% State Surcharge , 3% Administrative Fee TOTAL not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 AP.. ,00 4',\f) rJA (I) p>p, ~I n