HomeMy WebLinkAboutPermit Electrical 2003-7-16
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225 FIITH STREET. SPRINGFIELD, OR 97477 . PH,(541)726-3753 . ~.(54d)SlilfB.1I6lII\;,quire specific land Use 9
ELECTRICAL PERMIT APPLICATION approval ~
City lob Number <:..3 - 00 S'-f <=; Date biz. 't h,] Zonino
I I :::"," 1-ICo - o?>
3. ~-co.1\.1PLEiJi..pWstiJ(f.N~~~{Ui 111';1.OW q<..J
sqo sro-
IO,/; ItJ~
20.0. Amps or less $ 50..0.0.
t.1/0 /8 ~",2GI Amps 10400. Amps $ 69.0.0.
O ; <,::'~./IOI Amps to 600 Amps $10.0..0.0.
Expirntion Date 3 '9 0 ~ \ .,
':i>'; u'\ >~e~S90 An]psorlGGO V~L'se:.::!3".~bove.:._
. f . .. ,\.~ :\.i\..~' .:D. ~ Branch Circuits.. l
Signature 0 SupervIsIng ElectriCIan _ 0 ~ ," ~L..~~_~ _:.._ _ _,_..__ .+. ___._ ___ ________~__
,; () 1\'" .~l'~'~~~'lo..,~' .~.:.:.Ne;y.. Ai~emtion or Extension Per Panel
\..) hQU~'--'" I'" \lo"..:".,',\ (....OneCiriltiit
,.. .1 .'
."J", ,....S.l-;~,.'~\', .;.-;" ',.-\- :~:f '~,-~c;h ~dditional Circuit or with .
-r /JO. O/'IIo..t'/,'.D-.'/'1 ",' /J.. ,r',,:,~.'~i:r"\~CeOrFeederpennit. .. $ 3.0.0.
Owners Name 1 Je.fi r!Qlffoc-;,~[Q~,.eVl.I,.;.€I.,\ ',~'__ ___ .___ .___._. __._~_ n_ . ___on"
Address RI.c.</ 8~rfu tOe "~Q.:;i~.:.'r<> E. iM~~o!~~:ons ~Sm~co/f~dor.not~lcI."~ed) -~'cI,!~'~al!~'l~o.
City Shr;I"I~..E,'t:dJ 'Ph.?ne ~ -{7CJ.J:.(i-2'2-. Pump or irrigation $ 50..0.0.
-'I' \ :r .... -~ Sign/Outline Lighting 1_ ..~G
OWNER INSTALLATION ''; ~,-/" U Limited Energy/Residential \\\~~~ilO
The installation is being made on property I own which Limited~pY/Co.ij;lt.'io.~ \~ ~1'<.\\'Il\~ ~\lW5.GG
is not intended for sale, lease or rent. Min~:u~~~&~fl\)~l~~~~~~O~~UrChUrgeS
4. : S~~Q~~;~~~'\). I SO
t~~-co\i~~~~~____h_--' S'l'>
7% Sta~ta~ge :3
10% Administrative Fee sO-O
f ~C3~
, ". ~ ~-+ --...- -.-,
1. 'LOC.-l"fIONOFLNS1:4LLATlON
:2/5"5' t't-o/"m,PrC 57R&'7
LEGAL DESCRIPTION /703 ZS'1 Z 0' zoo
6Jr/fZ/J/dS 5t/6s
lOB DESCRIPTION
C!;;;17/Je/ t4M/'S' ~/l, ~'1
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 da)'s.
2. I_-~~:V"!~~?:~~ njS~~~4T~~N9~'LY.~
Electrical Contractor /11/lUII/J Bfl1t;; Sr.;//S
Address 20~ VcFras()jzI ST
Phone ~~- 31:2...,/769
City
&a~nf'
( -
Supervisor License Number
Expiration Date
Constr. Contr. Number
Owners Signature;
Inspection Request: 726-3769
A. , New Rcsidential - Single (Or J\1ulli-Fmnily pcr dwelling unit. I
~.- ._~ - ~._ - _ _. _ .... _..+._ . ___ _..~ ~. ~'. J
Sen'ice Included
10.0.0. sq. ft. or Icss
Each additi~nal 50.0. sq. ft. or
portion thereof
$10.6.0.0.
$ 19.0.0.
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
r - - H__ -. ~ -- -. -. H ~ - ~_. ~ - ~ - ..
B. Services or Feedcrs - Installatinn. Alteralinns 0" RoIncation: i
'- . .- -.,' ~ - _._,.- _._-_._-~ -.-- _.~ - -~ -
$50..0.0.
20.0. Amps or less
20. I Amps to 40.0. Amps
40. I Amps to 60.0. Amps
60.1 Ampsto 100.0. Amps
Over lOGO. AmpsNolts
Reconnect Ooly
$ 63.0.0.
S 75.0.0.
$125.0.0.
SI63.GG
$375.0.0.
S 50..0.0.
-.- ~--J
C. : Temporan' Services or Feed ers
l~._. _~___. _.________......_.__.__.~~___ ___.___.. .___
Installation, Alteration or Rclol:ation
$ 43.0.0.
50
TOTAL