HomeMy WebLinkAboutPermit Electrical 1998-10-8 (2)
The following project as eubmltted has tho following
zoning. and does not require specific land lJ~',
approval.
225 FIFTH STREET \ \\{
SPRINGFIELD OREGON 97477 Zonnp OL
INSPECTION REQUEST: 726-3769 Oateta ~ l'l Ci ty Job Number
OFFICE: 726-3759
Authorized Slgnaturlil .. f\ ~P.T ,F.TF. FF.F.SCJrnDULE
'1.
LOCATION
5"3J~
. A.
~/01-.
,
LEGAL DESCRIPTION
/702 _'<'5 C10
013~
JOB ;z.SCRIPTION
~. . Ch. J,t )tr:::p../l" } .
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days, '
Expiration Date
C.
Constr Contr. Number /10 1iP /
Expiration Date ~/ztJrJO
Signature of ~~~~:/:~:=g r19~t~l~
x
ELECTRICAL PERMIT APPLICATION
Ne~ Residential-Single or
Multi-Family per d~elling
Service Included:
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Hom~ or
Modular D~elling
Service or Feeder
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
Items
~ ~/~ J
BELOW'
uni t.
Cost
Sum
B. Services or Feeders
Installation, Alterations
or Relocation:
$ 85.00
$ 15,00
1--'$ 40,00
1Ot:i'f)
... <I
$ 50.00
$ 60,00
$100.00
$130,00
$300,00
$ 40,00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40,00
$ 55,00
$ 80,00
see "B" above
O~ners Name
D. Branch Circuits
Address ~23
Ci ty
~.
Phone 7~:-2"o
OVNER INSTALLATION
The installation is being made on
property I o~p. ~hich is not intended
for sale, lease or rent,
E.
Ovners Signature:
--------------------~-----------------
DATE: . /G9/~/ie
RECEIPT #: (f ~ /feLV .
RECEIVED BY: .~~
5.
,
,
Ne~, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35,00
$ 2,00
not included)
$
$
$
$
~::
.t, :L-O
~ 5, J.. t:J
40.00
40,00
20,00
36,00