HomeMy WebLinkAboutPermit Electrical 1994-8-8
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.,
, The following project as subrn~!.d has the fellowln9--_ '
225 ,VIm .)~At.Q. .j!fning, "od doe. not require speci!Ie land usd!LEcnuCAL PERHIT APPUCATION
SPRINGFIELD. OREGON 97""dpl',oval. q , (
INSPECTION REQUEST: 7~6--J769, IY\ 9.0 Ci ty Job N\1IIIber ''-\ OC; '7 ~
oPPIClh 726-3759' Zonlnp , ,
Dot. 5S .j? -011 3. COMPLETE FEE SCBEDULE BELOit
1.' LOCATION OP 1HST~TIO~ " ^
<;' '-1 '1 /?.., If< ~hJF'19 Signature ~ X~. ~....tltlmt1al-Single or
Multi~Family per dvelling unit.
Service Includedt
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
" , l . ' Installation,' Alterations
Electrical Contractor.l1:' t.J F /.." ~h rc-::t-"" c- or Relocation:,
Address-:/l13 W did Yl- j--,~:& Q:) 200 amps or less
n I I --' 201 amps to 400 amps
Cit)l ""'~I~/ .. <, P1hone7reJ-,(., J 7/ 401 amps to 600 amps
601 amps to 1000 amps
, Supervisor Li cen.se NUlber "\ ~~, 0 L J - ..3 Over 1000 amps/vol ts
Reconnect Only
Expiration Date J() - V - '1)
Constr Contr. Number 'I (PI ~t,2-.
I
Expi'ratlon Date f,.., - / ,'1 -: 95
.~W;;aY
,0: I)vners Na,me ~ (elA.~t()fztyvz<'
Address -i (p e?[ F /y-J;r-<>-ST- Pv
City' k\ ~a...Vt_~. '~hone q7q -(;( Z""C
, ' p, l', '
OllNEll DlSTALLA~Oi
The, installation is.. being III&de on
propertY,I ovn vhich is not intended
for sale, 'lease or re~ t . '
, LEGAL DESCRIP'l'ION
l,o"3Z-1..00 O?APOD
JOB DF.tcR:rPnO~ .I '
If U wJ-'l (,)'4J.-4
, i
.. . .. r '
Pe~its are non-transf~rable and expire
if york is not started'l vi thin 180 days
'of issuance or if vork' Is suspended for
'180 days.
Pvn~~s Signature:
. ~ ' . .. . .' .'.
DATE: ~ -8 -qi I"
RECEIPT l: , t '-('L.-Y'7 "
RECEIVED BY: fJ,/~
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof., .
Each Manuf'd Bome or
Modular Dvelling
Service or Feeder
/
SUII
- <
$ 85.00g, -
Cost
/,
~
$ 15.00/S
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to '600 amps $ 80.00
Over 600 amps, or 1000 voJ.ts"see "B" above
D., Branch Circui fs '
Nev, Alt~ration o~'Extension Per Panel
oneci ~cult:
,Each Additional'
, Circui.f:Qr v,i'th Service,
,'or 'Feeder petmit'" ,
......... .
S 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)'
-Each installation
Pump ~r, ir~~g~tion~
Slgn(O~t~J~e ,Lighting'
LJmit,~,E~ergyYRes
Lilliited, Energy/Comm
. .. .: ':. .,' '",
$ 40.00
$ 40.00
,$20.00
$36.60
. . (
5,. SilBTOTAL uP' AllOW I n (/ ----
5% 'State ,5uicl1arge ' .{... ::..;.--
"l'~~, ... ,. ' In'!-- "-"""
+36.b'Mti\'\t\~~ . -} '/ '
1994-05-27 17:jJ~=
~
02
225 PIm .:.~"'". ~
SPRINGFIELD. OREGON 97477 /7)1' "" e;, ...-
.....:...t.cTION REQUEST: 726-3769 .J.
OFFICE: 726-3759 I
1.' LOCATION OF ~STALLATION
~4'2 (Z;2k n~(.R. _ A.
LEGAL DEsClU1'1J:~N I' , " , .
?"'~ ...........7 ..u,~ fP~;-...:.J(i!,JQ}i~
I I ~ '
JOB DESCRIPTION .
/2 ~ Y;-' ~ ~':....... 8--? 'J -f' '>
. ., l
Permits are non-transferable and expire
if vork is not started' vi thin 180 days
'of issuance or if york is suspended for
'180 days. ' ,
2. CONTRActOR INSTALL \TION ONLY B.
Blectric~l contractor.h.:W F./~~h,<- ~",c..
I
Address '2 7, <; t.1.-Au.... 'L ~ 6' ~
I .....
City {lnrtn. II;. Phone?r''-/- /"/? /
I
, Supervisor Licen.se Number 'Jt. 0 (J - .s
Expiration Date J 6 -I J - 9 c;-
Constr ContI'. Number '1 to?3 b 2
Exp1'ration Date In -L q -,..9 S--
. '.j
Si(Lt~~y
.<= pvrters Na,me {, (( iii 0-0 ~~
Address 1~q Fi:Y(r~
City . A \ It){'lNW~ " . t.hone. en 1- (p r z...'Z..'
OVNER INSTALLA~Of
The, installation is.. b~irig made on
property,~ ovn ,vhich is not intended
for sale. 'lease or ~ent.
Ovn~rs Signature:
. ~. - . ." '.
I
I.
.'.". .
.....4
DATE: <( ~ID..J10 i
RECEIPT t: ' , I U "L'lr(J) ,
RECEIVED BY: ' 0./1 '
" '
City Job Number
3. COMPLETE FEE SCHEDULE BELOit
Nev Residential-Single or
Hulti-,Famlly per dvellinjt unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof, .
Each Hanuf'd Bome or
Hodular Dwelling
Service or Feeder
Services or Feeders
Installation; Alterations
or Relocationt
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
$ 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 $ 40.00
201 amps t9 400 amps $ 55.00 '
Over 401 to'6oo amp~ $ 80.00
Over 600 amps, or 1000 VOJ.ts..see "B" above
D.. Branch Circuits
New, Alt~ration o~'Extension Per Panel
One ci rcul~: .
,Each Additional.
" Circuh'or llfth Service
.. orFeedi!rp~,:mit' '
$ 35.00
'$ 2.00
E. Hiscellaneous (Service/feeder not included)l
-Each installation
P~inp or, irr~g~tlon.
SignIOut~J~e,Lighting'
~~mite4,EnergyjRes
Limited, ~~~r~/Co~
5,.
s.~n....... no', AltnUll
~:.~~... ..:",~_I.~.~.:!- .
, , , ,1'll.I~ '.:
..' ." . :.,. ..'
.\ ql"'>L ^6~p '.~ ~~'
-. . '" -
1994-05-27 17:00
$ 40.00
$ 40.00
S20.00
$.36.60
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