HomeMy WebLinkAboutPermit Electrical 7-12-4
. -
he,Jollowing project as submitted l',28 X;l': b::cwing
zOning, and does not require en.9,'m~ I'....~' .."',,
approval. ... W ~.~, ,,-, "~.J
Zoni~ LcLv
DatJz -44--'
225 FIFTH STREET . .r
SPRINGFIELD, OREGON ;'C'l~9~ed Signature Q) t1^..
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
B. Services or Feeders
Installation, Alterations
or R~location:
. ~O~~
Address 870 West 2nd Sp. D , ~"\~u ~s or less
. ~~~ ~~~~amps to 400 amps
Ci ty Euqene Phone 4.85-3639, <(..1.<( ~ \l<(..~~'Q~<a<ftt~s to. 600 amps
. '..r'~'~. ~'(..~v.- ",y,,'\ O~ amps to 1000 amps
Supervisor License Num~\ ~"\ ~~((,.<?- x;~~\J Over 1000 amps/volts
~~ v ~\) . \~ ~ Reconnec t Only .
Expiration Date 1/1/~ ~y.O~ _r.f\O<?- C\). . .
~\)\.. ~~\i",. ~<(..~ C. Temporary Services or Feeders
Constr Contr. Number 586UCCn~~'\J.,;n~ Installation, Alteration or Relocation
Expiration Date 1/23/98 ~'\ 200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
pryture ?,sup;:v_i ,s/~. / vElectrician Over 401 to 600 amps $ 80l.l0B? above
~~ V1~ ~~ Over 600 amps or 1000 volts see
~ f\ D. Branch Circui ts
vners Name... ThL,\ ~Al.9x-+on
_ ~ ~_ 'New, Alteration or Extension Per Panel
Addres4'\Q.-: \~-{ 5\S
Ci ty~ \). ~\1. PhonJL\-i .5?JiJ $ 35.00
\1ffRN r .~fo~-FN
~1\b~~~~ \ 1JfJ l
{Of( DESCRIPTI'oN .,
\ 1 0 ~J!(() Lo...... \.~) lrV
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1.
2.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor Weiland Electric
OVNER INSTALLATION
The installation is being made on
property I own whi6h is not intended
for sale, lease or rent.
Ovner~Signature:
DATE~---------------\~-~~ L{ 1 ---=:---
RECEIPT #: \ lJ I 0K 1\ -- 1\/lA
RECEIVED BY: tf\ V.J)~ (1-..C)\ ~ \
ELECTRICAL PERMIT APPLICATION
~J. ty ~obNumber C\ r. 07)S
3. COMPLETE FEE SCHEDULE BELOV
. A.
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling'
Service or Feeder $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
dJ
,.
One.Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ,,'1) pO
S% State Surcharge C{) .SO
3% Administrative Fee ,.50
TOTAL .~~.tr)