HomeMy WebLinkAboutPermit Electrical 1997-8-25 (2)
"Tile, following project as submitted ~ tho followin
zonIng, and does not require sp&ciiic I~nd u"'o g
epproval. .... ..,
Zoning YV\ I
225 FIFTH STREET o,.,/? .-rl..<yq,/
SPRINGFIELD, OREGON 9747])-'- -I
INSPECfION REQUEST: 726"'3'l,693ignature h fY\
OFFICE: 726-3759
3.
;...."J.,oCAT,J;ON OF INSTALLATIO~ /7...,.
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LEGAL DESCRIPTION
), O~ /C-f (0 ()/ df)/
c, ~ JOB DES9UPTION
c,cJ'cf ..~()~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~I ~"j
~~~~~~~~~-~~~;1-----~---~~--f\\----
RECEIVED BY"",",/. mrY(J~)-a~
ELE~CAL PERMIT APPLICATION
Ci tyJob Number Q7 J 00 7
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
One Circuit
Each Addi tional
Circuit or with Servic~
or Feeder Permit I()
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Items Cost
Sum
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50. dO
2. CONTRACfOR INSTALLATION ONLY B. Services or Feeders
~ I. J, fl ,rt-'1~nstallation, Alterations
Electrical Contractor (llr.t)\(l~ . l\1 j'v or Relocation:
Addres.s~ 0 P(\ \ \\lDc\, 200 amps or less /
c. flAf.l11J n.., 201 amps to 400 amps
City LA 'f1~ Phone ,,,.~ 401 amps to. 600 amps
. Cl nC..f"T'\Q 601 amps to 1000 amps
Supervisor License Number N.r"loll.) :'l Over 1000 amps/vol ts
1.f.\..J. _ J.A 0.1 - Reconnec t Only
Expiration Date tuO[[Ur.F'\ t
\ C. Tem~orary Services or Feeders
Constr Contr. Number THISlltB~ALLEXPIREIFTHfrWftlliIKl.ation, Alteration or Relocation
Expiration Date ~~:~qRIZ~l!.~~~HIS PERMI1b~N~Jps. 'or less $ 40.00
vv,v,MENC ORIS A ANDONED fl*! amps to 400 amps $ 55.00
Signature of Supervi~~~~~E~~. Over 401 to 600 amps $ 80.00
. a-~~-::_:::...~...c;:::'~ Over 600 amps or 1000 volts see "B" above
~ CA' r.1I ",.-- D. Branch Circui ts ,.
Owner ame .CLL<....--t:li./ 'LIMrf Jlt7/ ,)J-
f2 ... <f::fr'v New, Alteration or Extension Per Panel
Address:?!?// \OO.c-ULj....Lr> 10
Ci tl;;~~fl..;j / P'h~~~~& >? 3-:5/0'{
OYNER INSTALLATION '
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 35.00
$
2.00 dO. (50
not included)
1/
$ 40.00
$ 40.00
$ 20.00
S 36.00
70. cro
3.50
..:J In
g 75. (pO