Loading...
HomeMy WebLinkAboutPermit Electrical 2002-9-17 ~.,~-. mO':>J3IkSl;I:) ':-r:':}.I'.U I ".'J:'t.,n... '225 FIFrH ;>TREET SPRINGFIELD. OREGON 97477, INSPECTION REQUEST: 726:3(69 OFFICE: 726-3759, ELE.CAL PERIvflT AP~N City Joh Numhel'_(J? -~? ,? ~.::-e;r .~ : ' , I I I 'I ; ~ \ COMPLETE FEE SCHEDULE BELOW ., , \ " I. LOCATION OF INSTALLATION (,,(;1'0 i'v'-o~'s ?~S., I " <. -' - ~ A. New Re~identi;II-Siugle 01' Multi-Family pel' dwelling unit. LEGAL DESCRIPTION dhaslne\OI\~il\l\ee Included: bfl'\\t\G I' d use ~:.......t as SU . aci1ie \311 ,he 'O\\OWlllYdt'. ~5- not reQUire sp and 0 /7 . ~ JOB DESCRIPTION zoning'al, I VI - ~~~ sq.ft. or less Ne.-.J (.o~~.w~~_o ~"ell..~:ionaI500 Permits arc non-transferablt>~ttd ' . e _ ~ ~,;~r~:; nartlOn if work is not 'started within A~/I,~ Signature Each Manufd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder 2, CONTRACTOR INST ALLA TION ONLY B. Services 01' Feedel's . ., I CI\l . j\..It\i.......1 tl~UI "Gl"'~ 1-J.4-~'ll"t. ... JLAllt' t' (""J ~o 'I n".1 .1 IOn, "'. el'a IOns 01' Electrical' COIltraclorc.JCOO,oo: .~ s adopted by thRgol1~\Jtl"ty '. r,'. I qenter. Those rules are setforth Address C/t7 R.Jitel6e 2l'i1~?~-o01"0010thro~Q!It~~&OO1. _ .0 .v!l'... \.VV ",ay Obtain COPI2'@lo,ltH/15f61lmgelf\ps City Euoe 11-{; Phone&t'~IUng;tJ.l~nter. (Note.J~Qllle amps . - V \ : "" "if";;r1;); :ne Oregon UliJiJy _iOOlmlO amps Supervisor Licen~eNnmber L q tJl} S Gflntp,r'" 1.R'1n'~~e'h%14I~:OO amps/volts 11 Reconnect Only Expiration Dale .J (}-tJ /-J!. 00 J.j. . ,iConstr Contr. Nu~ber c! 6 6.f.. J.j' C. TeUlpol'ary Services or Feeders Installation, Alteration 01' Relocation "Expiration Date 6'--"10-ofOrJ 3 200 amps or less .' .- .. .NOTICE: -. __ 201 amps to 400 amps Slg'f2""~"" ~m::.~'If<MIT SHALL EXPIRE Igr~l:ili~".:';:::" wO<, = ,/}Zj UT~ORIZED UNDER THIS PERMhlid&NOT ". ^ Mn1cm..oR IS ABANDONEO FOR ANY 180 DAY PERIOD. D. Bl'aneh Circuits . Owuers Name New Alteration or ExtenSIOn Per Panel Address One Circuit Items Cost Sum L-- $106.00 leX;' 3...- $ 19.00 5'"7 $ 50.00 $ 63.00 $ 75.00 $125.00 $163.nO $375.00 $ 50. no $50.00 $69.00 $100.00 $43.no Citv Phone Each Additional Circnit or with Service or Feeder Permit $ 3.00 OWNER INSTALLATION The installation is being made on property I O\\'Il which is not intended for sale1 lease or rent. E. Miscellaneous (Sel'vice/feeder not included) -Each inst~llation Pump 'or irrigation Sign/Outline Lighting Limited Ener!,')'/Res Limited Energy/Comm Owners Signature: $50.00 $5(1.00 $25.00 $45.00 i'\'linimum Electric Permit Inspection. Fcc is S45.00 + Surcharges 1L8':["$ Z'(l~c.::! l,w\:} 'onz I"'''' , 'H' .:.:\ I, ~.. ':l..:'ti, _::.:._..)\.1 r1;>9010C..',C,: SMjiJ.I. 4. SUBTOTAL OF ABOVE 7% State Surchal'ge 8% Administrative Fcc TOTAL /h 3, ~ //,'1'/ / '( tr"f' /97:lf