HomeMy WebLinkAboutPermit Electrical 1994-10-13
P/~2r-e-- :> / c/ ~/..s h
C I we? 5> lh~~ a> ok- -Y
,
<:0; } ;;; J-:7 a.. /
p/"). .......
~ SPAINGWi.o,
. '
c:J?,~.'./-
I
The following proJoct .s subml!led has trill~~g .
225 .It...lt.... .:..I\l/.A.. I zoning. and doe, .'0' ''''i'';c,: "',eel", l::nlf'~'<u'CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 approvel.. / J 0
.......t..cnON REQUEST: 7~6-3769 Zonln 1"\1\.1)/2..- City Job NUlllber 2,. I").? /
OFFICE: 726-3759 I g-l-l..! .. . .
. ! Dille -' 0 -I ~.q.::t:- 3. COMPLETE FEE SClIEDIILE BELOit
1.. LOCATION OF IHST~TJ<lN., .. I\.rv.
';-:1 3 t;1>JJ:. 1 rvt,p"'Ulotiznd Slgn&luro-uy.' NlIW le;hlllA.tial-single. or
. .. . . . . Hulti-.Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
1000 sq. ft. or less
Each additional 500
. ..; . sq. ft or portion
Permits are non-transferable and expire thereof .
if work is not started within 180 days Each Hanuf'd Home or
.of issuance or if work is suspended for Hodular Dwelling
'180 days. Service or Feeder _
2. CON'rRACfOR INSTALLATION ONLY B. Services or Feeders
. . .1." I _ , . j '1'1 Installation,. Alterations
Blectrical Contractor~.,,. ill ..LAIC- or Relocation:.
I
Addres~'?, ..s:'W YJ,u.......l~j,...zt1:!>
I -
CitV'L'>),U>.I J . , Phone"'~ (J-, L. J? I
. I .
. Supervisor Licen.se NUDI)er ':3bO '1- S
Expiration Date 10 - I - tj'r
Constr Contr. NUlllber . ~o ~:'1...
I
Rxpi'ratlon Date (n - 1J..9 .- ,9 ~
. . ~
:j; ~u' 'rvisin
.0:
JOB DESCRIPTION
9VMrs Na,me
Address
'I
I
I.
. ~hone ~
OVNER mSTALLATIolii
.; I
The. installation . is. bei~ made on
propertY.J ovn.vhi~ is not intended
. ~ .' - I
for sale, 'lease or rent. .
. . .
City
. ..I
~ers S~tur.e: / i ".
. "1' .
\YJ" j'J"L11 .._ (/
"'JiJi;.... >.' \'='( IJ L.> .,
<--..1. ~
. . ~
DA'I'Ih
RIfCElPT f' .
'RECEIVED BY:
Items
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
Cost
SUIll
$ 85.00
/
e;-c.
$ 15.00 Is
$ 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 $ 40.00
201 amps t9400 amps $ 55.00
Over 401 to'600 amps $ 80.00
Over 600 amps or 1000 VOJ.ts.,see DB" abOve
D.. Branch Circui ts .
Nev, Alt~r~tion o~.Extension Per Panel
Onl:. . ciri:ul~ ...
.Bach Additional'
, Circui.f'l)r v,fth Servh:e
.. or 'Feect~r Petlnit" .
.. .' .
$ 35.00
'.
~
I
1
/1
,\
(
.
. $ 2.00
E. Hiscellaneous (Service/feeder not included)i
-Bach installation
P~mp (lr ii::r~p.tioil.'
SicnIOut~~~e.Liihting'
Li.ited.Energy/Res
. Mmi tell Eiler~/CoIllJ.ll
. . I:. . .
5~ s;..,...AL oP' ABOVE
5X'State.Surch8rge
... ,.~,u. ':.. .
...' ." . :..' ..'
.L '=l.OL I\).^, ...... r",.,,,,'
$ 40.00
$ 40.00
.$ ~O.QO
$,36.00
,
" ;
.
,
".J
..\....
,
,~
'. j
,
I
"c.
I .;- ;....-
,?<"
'4;:-
I (p. ? 0 -
.
SPAING.1..0,.-
I
!=t~J
. le,followlng project as su mittod ha.s thp. 10!
zoning, and does not require specific lane u:j
epprovel.
225 .FIFTD STREET I Zoning_ .ty1Dr2.- ELECl'R1CAL pER/iIT APPLICATION
SPRINGFIELD, OREGON 97477 q/\ f\n\A'
.......r",cnON REQUEST: 726-37~to 10-1-4'1' City Job NUlllber '-T\H T \
OFFICE: 726-3759 Authorized Signature Y\ M '
-ff.-caIlPLETE I'RK SCHEDIILE BELOIl
1. LOcATION 01' lNSTAI,LA~ON ,
.01)'3,) 0'01 Ai j. ~'" A. New Residential-Single or
". Hulti-.Family per dwelling unit.
Service Included:
,
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. :'1 I I J '1'1 Installation,. Alterations
Blectrical Contractort1..i..w E -t! ~ \ t. ..LAIC- or Relocation:
I .
Address?'?" S l...) i4tJ-P lot,. 1 ~M' .ztB 200 amps or less
I.) . - 201 amps to 400 amps
Citf{- L'>),lf>. / J . , p~one?~ <'}- L. J? I 401 amps to 600 amps
601 amps to 1000 amps
. Supervisor Licen.se Num~er ~6 '1- S Over 1000 amps/volts
, Reconnect Only
Expiration Date IO..J. I - 'i r
Constr Contr. Number . to /'3" "2.-
I
Expi'ration Datek- i9-9r
S~;p;r;;ny
': ' / 't.. +- D.. Branch Circui ts
pwers N~e.t'"/ ./;" ,~; A..a.,b r? .
II ( r, I n. ^ n --1. New, Alteration or Extension Per Panel
Add~es :..1_0'-1 'elJJ Al Y( 0 1)) .
~ hA. IntO I_J/}Y1 ,one eircui~ $ 35.00
eit.' \) IIl~Phone~ L----':Ea~h Additional' ..
. : . Cucuit or \(ith Service
OVNER INSTALLA: N . or Feeder permi t $ 2.00
The. installation is'.b~irig made on E. Miscellaneous (Service/feeder not included)
propertY.I own which is not intended -Each installation
for sale, 'lease or rent. Pump or. irr~g~tion
Sign(Out~~~e.Lightin~'
~Ainite4.EnetgyjRes
.Limited Energy/Co~
-L~~E~~N b~~)
JOB DESCRIl'TION 01 ( \') .
et.f1r~~v 0~ ,Q.F\
pe~its are non-tr~nsf~rable and ~xpire
if york 1s not started'lwithin 180 days
.~f issuance or if worki is suspended for
180 days. . . I
,
Owners Si~ture:
. ",'I
DATE: . \U.J ~tLt It ~ II
RECEl~ f: \ 1.:1 . I \"":\~\r-, \
RECEIVED BY: IJ'\\I. 1):..J . .
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Hanuf'd lIome or
Hodular Dwelling
Service or Feeder
I
Cost Sum
c-l"
$ 85.00 RS- '--'
I
$ 15.00 )S-
c.-:-
$ 40.00
S 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'6oo amps
Over 600 amps or 1000
5..
SUBTOTAL OP ABOVE
5X'State.surc:harge
.1'OT~ . .
.' " . ;.., '.'
-\- '~P.h ~m'\{\ ~~
voJ.ts
S 40.00
$ 55.00
$ 80.00
see ftB" above
$ 40.00
$ 40.00
.$ .20.QO
$.36.00
/00 ~ ~~
'5'- -:--""
'"3
loJ-
~
-
~