Loading...
HomeMy WebLinkAboutPermit Electrical 1997-3-5 Tf"l'"'io' )....-... . . i,l'" ...,.,..... ..lj:~J[')rO;JctC:Scubm:"~-fr"''''.'_",''' . t .;0.,': l-, ,"D. '::'1Q dOtJ not rc~u"... ~ ':~:L_ ~ l '. ,'" ......~i1J... ' . ..'1;.;....(OolOJ. . II... .... '. "' Zoning LfY2.- C ':"-J.:6~r;" 9Z4}}"'iiCd Oior.-lu ft I t\. 726-3769 ~ '. ro_ IV I VI 225 FIFTH STREET SPRINGFIELD, OREGON INSPECTION REQUEST: OFFICE: 726-3759 1/3L9CPXION OF INSTALLATION , ~") O/!jmfu...- 51 LEG.AL DESCRIPTION L )-'7 t)~ ;15 3 d.. 040D ELECTRICAL PERMIT APPLICATION ~itv ;o~ Number c:j~l)~~(\ 3. COMPLETE FEE SCHEDULE BELaI/ A, Nev Residential-Single or Multi-Family per dvelling unit, Service Included: JOB DE\SCRIPTION- IV},) ...YJ.,(/(.u...- -l C/I2eu. ,"h Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for l80 days. Items Cost lOOO sq,ft, or less Each, additional 500 sq. ft or portion thereof Each Manuf'd Home, or Modular 'Dvelling Service or Feeder 2. CONTRACTOR INSTALLATION ONLY' ,B. Services,or Feeders , /,oe Installation, Alterations Electrical cont~act~~r,z~~~ ~~~ Relocation: Address 7/6 S-.4' /j-~#/ (;., ',200 amps or less / , ~ 201 amps to 400 amps Ci ty' 'd. Phone "7<(7 ~s:-Y 401 amI's to, 600 amps 601 amps to lOOO amps' Supervisor License Number "?7 -:?tJ .<:', Over: 1000 amps/volts Reconn,ec t Only' Expiration Date //J,-- q<;<" Sum $ 85,00 $ 15,00 $ 40,00 $ 50,00 $ 60,00 $100,00 $130,00 $300,00 $ 40.00 . '5"Q, t9 C. Temporary Services or Feeders Installation, Alteration or Relocation Constr Conn, Number 77/)"'t;'" Expiration Date /0- '1~ ~~o~~'~ "o.",.,"? ~rs Name /6rZe.Sft I/DiZ Htt5::> Address /355 O/:JoYI,PL G 5T City ~t?~ Phone OI/NER INSTALLATION The installation is being made on, property I ovn vhich is not intended for sale, lease or rent. Ovoers Signature:, " " j)~~~~;7j=-,~:'-'2;7~-:-~~---'-:-~--.-~ RECEtt. II;) (-)j,G-j.'l~-X.' ' RECEIVED BY: /7. /YI A r.l1 ::-:'//Cf D. 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or lOOO Branch Circuits $ 40,00 $ 55,00 $ 80,00 volts see liB" above " Nev, Alteration or Extension Per Panel One Circuit Each Additional Circuit or vith Service or Feeder Permit ~ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ $ $ $ 5:' SUBTOTAL OF 'ABOVE ',i)4, @J ,5% State Surcharge',," . ,,',<9<70, " . ~~T~mini:sF,~~~i,~~,:f.~~,,:,:;:<;{:.~~: ' $ 35.00 $ 2,00 q, t57J no t 'included) 40,00 40,00 20.00 36.00