Loading...
HomeMy WebLinkAboutPermit Electrical 1997-1-9 . zonln'l, ano uvu... ,,- approval.. (( I Zonlng_-~. 225 FIFTH STREET \ A /11l1 ELE~AL PERMIT APPLICATION SPRINGFIEl.D, OREGON r9'7'4''n - '(\ 'f'!'- ~~ 'l'lO q 7 / SOd INSPECTION REQUEST: AUl~~9na\Ure t:,. - :j..?\?<~\r t:i~l(S~ Number ~ OFFICE: 726-3759 "\O~\C,... S'f\Il.\.\.~ .,..?~?<\l.X..&. \' c~\l.\i . 3 "'~ -WIwL'Erl'o~ . SCHEDULE BELOII 1. LOCATION OF INSTALLATION i\\\S?<- ~ \J~\)'" ~~\)O~ I d.. h,O HLLi VI o,'jiv.a?<\te d\'t\S ~w Residential-Single or ~ ~~~~Q ~lti-Family per dwelling unit. LEGAL D~SCRIP'fIJW.? ')< I rr:p;./~~'{.,?f:.?<~ Service Included: V'Y)Q b.L1 e-, / j D:-J. ') ::::,L ~~ It ems J~B D. ESCRIPTION _ I 1000 sq.ft. or less r-;a th V'e.vYltJNe1 Each addi tional 500 sq. ft or portion thereof Each Manuf'd Home or Modular ~welling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Electrical contractor~os~ ~rLJQra:l1iO'7\.. Add res s f3'Q C17Co ])(U...l Lo..n~ U CityCUq~ Phone~-0'1()5 ~ Supervisor Li cense Number J!iLfn P, .5 o Expiration Date /0/ f /9P. Constr Contr. Number 5tj.,tf31 Expiration Date 1jSQj3Ji Signatu~uperviSing Electrician -{,,~~~,,~~ Owners Name--1:!nQ..r. '-'-;/J{~' Address2l 'l~ ~ Aive;'-u)t1f/{ /}JJLd.. City eu.a_J_tl/l- Phone_JI2f~-1{)()f U OIlNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: - ~~~~~-----~1jt'9-J==-~-~~-~----------- RECEIw-I: . r-..L y. "( L- f" RECEIVED BY: ~ ':1'/lJ1 /1 ~ , Services or Feeders Installation, Alterations or Relocation: 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 $ 85. $ 15.00 $ 40.00 $ 50.00 $ 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 100u voHs D. Branch Circuits New, Alteration or Extension Per Panel $ 40.00 $ 55.00 $ 80.00 see "B" above One Circuit $ 35.00~=5"~ Each Additional Circuit or with Service or Feeder Permi t ..z. $ 2. 00 /f~ E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL .gq' qE. - ) "?!> / t..Z--- q-;:t:../Z ---