HomeMy WebLinkAboutPermit Electrical 2001-3-29
Tt e following 'praieet 85 submitted h,a.s the 0 owm
ze "ling ano doe~ no\ require: specIfic land use
a~ proval f\ c..-
225 .FIFTH STREET Zoning V
SPRINGFIELD, OREGON 97477 ':) ~ 1'1' 9\
DlSPECTION REQUEST: 106>-3n9 - d....~
oFFICE: 726-3759 Al.thorized Signatur~
t' 3.
1.' LOCATION OF XNSTALiATION .
lo~'-\ QOS.\,Q\ \Jau S'o~l~",~id~~(. A.
- LIlGAL DESCRIPTION I': .' v
Lu03 77_zD . 02.f,O:5:"
JOB DESCRXPTlON
.-SIo~ +e!t''''' <?lu"\~\,~
. . . . ~
Permits are non-transf~rable and eKpire
if york is not started" vithin 180 days
"of issuance or if york is suspended for
'180 days.
"Ovn~rs Signature:
.' .
'. '"j
DATE: 03 Z '7c::i/"
RECEIPT. iI: L(7RKI
RECEIVED BY, . f'/<.
I
\
"LECl'RICAL PERHIT APPLICATION
City Job NumberfJl-OOZ<:j8-or
COHPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Hulti-"Family per dvelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Hanuf'd Ilome or
Hodular Dvelling
Service or Feeder
Services or Feeders
Installation; Alterations
or Relocation:
200 amps or less
201 amps to ~OO amps
~01 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only '" "
Cost
SUtIl
2. CONTRAC'l'OR INSTALLATION ONLY B.
Electrical contractorh'; IJ EI-ecJ..,.: c-
Address ~ q fJ B 9' J.JL'j J l.f S L0
A./' CI?'J2./ i /
City h ::vvt.!o - Phone :; ~4 - &, /1
- . I
. Supervisor License Number :J(,,04-.s
Expiration Date '/0 -11-tl)
,
Constr Contr. number fin? J h?-..
Expiration Date~
. .~
:(~~~y .
"0: - .1 . D.. Branch Circuits
pwners Na,rne 5~ ~ .c.lAtI11(
Address . Itytlf j)~Jf,." I VA..,
I 1
Cit" . sf~~ '. 'i.hone. 7l.f/-c/ZOo
OVNER XNSTALLATION
. .: I
The. installation is"" b~irig made on
property ~ ovn vhich is not intended
for sale; 'lease or ren t. .
$ 85.00
$ 15.00
$ ~O.OO
$ 50.00
$ 60.00
S100.00
$130.00
$300.00
$ ~O.OO
c.
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to "600 amps
Over 600 amps. or 1000
$ 40.00
$ 55.00
$ 80.00
volts..see "8" above
Nev, Alteration or Extension Per Panel .
.. "
"One Ci rcui t' .
"Each Additional
~ircui{"or ~ith S~r~ice
.' cirFeeder. pet.mlt' "S
E.
Hiscellaneous (Service/feeder
-Each ins tallation
Puinp or. irrigation
Sign/Outlin.!! bghdnr
LAmi ted Energy/Res'
"Limited ~n~rgy/Com~
5..
SUBTOTAL 011 ABOVE
~%'State"S~r~haige
.TOTAL .
. ,',." " ",'
+ ?:P'1o Mffi'\1\ ~~
1394-05-27
17:00
\
S 35.00 35.00
$ 2.00 \0.0)
not included)'
$ 40.00
$ ~O.OO
.$20.00
$.36.60
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