HomeMy WebLinkAboutPermit Electrical 2001-8-8
TAowlng project es submitted has the following .
zo. and does not require specific land use
225 FIFTH STREET approval. t?
SPRINGFIELD. OREGON 9747thnln" L-D l<., B1..ECTJUCALPERMrr APPUCATlON
INSPECTIONREQUE~:t 726-3769' 1S~()1 1"'liy'.ob.Number O(-()~(syO'- "f
OFFICE: 726-37.59 a e ,
Authorized Signature L .. .... , St'"Uen
1. LOCATION OF ~~T~An. ON . v.v......"'.'" t''''''' '-n.w..>ULE BELOW
'-17./ 5: L d ' / -.'>Aj A New fl~"""n.I_SiJJgIc or
Multi.Pamily per dwelling unit.
Service Includecl:
LEGAL DESCRlPTION
1703'2-7/3
08'706
JOB ,DESCRlPT~ U-
N -r- A -r JII^.,()
. r/
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or ifwork is suspended for
ISO days,
2. CONTRACTOR INST ALLA nON ONLY
Electrical Contractor~ V ~ F-.i'f" c.L/1.i G
Address 0, D ,13/N 'ti~ 3 :J
City_JiJJ.J~ ,Phone 9Rf-- '1(.f'O
.}
Supervisor License Number 3 11975
Expiration Date J () /1 /0 J
Constt Contt, Number 7 () g- R 7'
Expiration Date/:2./ .3 ('] /() ~
Signature of Supervising Electrician
<th_' & dd~~ ~
Owners'i:tBhlA'-U fn06;tc!"
Address '--171 \' rr,[1r ~(c~
City q / i.-1? P1iDne 7d.b' 9tfD8'
O~INSTALLATION
The installation is being made on
property I own which is not intended
fo. sale. lease or rent.
Owners Signature:
190:~3IHS\i;j
: 38N\iH::J
gL'lg $ 6:Q::J3~ lW\i
I 1006 80 8n\i:31\iQ
LL~9000-10:#SN\i~1
1000 sq,ft or less
Each additional 500
sq,j\ or portion
thereof
Each Manaf'd Home or
Modular Dwelling
Service or Feeder
B, Services or F n;__
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
60 I amps to 1000 amps
Over 1000 ll1IIpSIvoIu
Reconnect Only.
C, T ............/ SeIVices or Peeder!;
Installalion, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
liB" above
D, Branch Circuits
New, Alteration or Bxtension Per Panel
One Circuit
Items Cost Sum
5106,00
$ 19,00
- -
$ 50,00
$ 63,00
$ 75,00
=5125,00=
_$163,00 _
5375.00
- $ 50,00
_ $50,00 _
$69,00
- $100.00-
-1- $43.00_
Each Additional Circuit or with Service
or Feeder PermIt _ 53,00
E. Miscellaneous (SeIViceJfeeder not included)
-Each installation
Pump 0. lrrigalion
SignlOut1iDc Li~
Limited EnergylRes
Limited Energy/Comm
/
5, SUBTOTAL OF ~OVE )
7% State Sureharge
8% AdminL_~':', - Pee !..I~ \ '1
TOTAL \V -"}-1
\0
$50,00
$50,00
$25,00
$45.00
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