HomeMy WebLinkAboutPermit Electrical 1996-4-10
b mad ha9 the follow1n !.II,.I
The following proi.~ ~ .~ir: opeclflo \and ueo ~,
225 FIITH STREET zoning, nnd does n r q ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approvel. . C. ~
INSPECTION REQUEST: 726-3769 Zont"" c; / City Job Number~:::> ,
OFFICE: 726-3759 Del. L( _{ 0 ' l l..::> ~
u:"Lk1I1oHn.E'I&-JZBE-SeREDULE BELOII
1. LOCATION OF INSTALLATION\uthorlzed Signal '=--r--~
"lL.! M.+' I ~ ~l". f', i> f" 0 A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
17?1>3'-~- 5//.eP/Zi'C>i:::::> Items Cost Sum
JOB DESCRIPTION
FLE:~~cltL. q ..(>l,eltllf:
Permits are non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.AN,2. Ele:::rt;?'L
Address, 2.!",/";Z(" CEflA ~ H- ILl S-
Ci ty.pLc~-f\Nl\-\\1 U'hone 7~ -DbS"'1
Supervisor License Number ~ l..\ Cl'L S_
EKpiration Date 10 II I q k
Constr Contr. Number 5s--'-\ b,C,
Expiration Date
7~ I ~ - q b
Signature of Supe :vising ElectricIan
"" irvW-, ~M 7 >
v
Owners Name 0A\1I 0 c..LYOc J CI-1 A e Lee;,
rJ' Lit- Il.-S ON
Address ~kO E IkT- '
Ci ty Cl/\At.... <-. Phone 343' q3 "if1
Lj if!:> - b y2 "
OIlNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: <,/_/~ ~
RECEIPT I: '2 J~St
RECEIVED BY: /' / ~~
, 'r
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations o~
Relocation:
B.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
,
c:l
$ 50.00 500.....
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
{
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ BO.OO
volts see "B"
D.
Branch Circuits
above
New, Alteration or EKtension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation .
Sign/Ou tline Ligh t ing
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t z.o
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35',00
, <:P
$ 2.00 '10-
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
C{'Dce
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