HomeMy WebLinkAboutPermit Electrical 1992-12-14
SJ:.nINGFIELO
225 FIFTH STREET approval. C c...
SPRINGFIELD, OREGON 97477 Zoning
INSPECTION REQUEST: 726-376? [A~I\'{-9d.
OFFICE: 726-3759 D.18 C.5
Authorized Signature ~
\lIowing project as submitted has the follow;n ~
zonmg, and does not require specific land use ~
ELECTRICAL PERKIT APPLICATION
. C{n \ lo l 0
1. \ 1og~~ ~RTf~IS\)\ 00 t-
\ 1ffi~fOb4qOO
rCaj*~:~l ) 't 40")- (\ ~
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 B 1/ 5" C;:/edr,c
Address 3/70 l<)psf- //1t
Ci.ty ~ ttC?OIP Phone -=?15>/?53
Superviso! License Number CJ!' 05
Expiration Date 10 -1- 9'5
Constr Contr. Number. ..:1-/55 /
Expiration Date t/ -;);p - <7.5
The installation is being made on
property I own which is not intended
for sale, lease or'rent.
Owners Signature:
~~~;~--7(tl-.-q~q (} -~--:~~--------
RECEIPT i: ~ ~.r. 1iL'1..hlP
RECEIVED BY: (J L/l. ~.
City Job Number
CO)lDJ ""'D "lm-SCBEDULE BELOV *
New Residential-Single or ,
Hulti-Family per dwelling unit. ,
Service Included:
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
Items _
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
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
\
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
200 amps or less
201 amps to 400 amps
~i atu~~supervisi~~ctrician Over 401 to 600 amps
I~ ~ ~ ) Over 600 amps or 1000 volts
( 1'/ _/ .....,
~~ D. Branch Circuits
.0Awdnderress Name ~-Q~~~. ' .....iJ.' \
, i \ ,-), I ~~ New, Alteration or Extension Per Panel
City~~J.rr . Phone:rt1-~~~hC~~~~~~onal $ 35.00
~=r, - ." Circui t or wi th ServicJ{ ~
OVNER STALLATION or Feeder Permi t "'T $ 2.00 n
$ 40.00
$ 55.00
$ 80.00
see "8"
above
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36&J
~.
D/ .'-1D-
0( J. '-fD-