HomeMy WebLinkAboutPermit Electrical 1994-3-14
III
SPRIN~O
The following project as submitted ' wi~
zoning. and does not reqUITe spe<: ~
approval.
225 FIFTH STREET LDe. ELECTRICAL PERMIT APPLICATION .
SPRINGFIELD, OREGON 97477 Zonlno
INSPECTION REQUEST: 726-3769 ome 5-ILJ -"t4 Ci ty Job Numbe~ '9 V~ ~/8
OFFICE: 726-3759 \ 1 ("-
Authorized S!Il!'8luOOHPl.1ITR FRR ECHBDULE BELOII
1. LOCATION OF INSTALLATION J
l/'Q~ Pd\.H\II&tt,: SJ.!.1IIi\...bo,#~30q _ A. New Residential-Single or
~'- Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/7-b:r :n. ~, tt) 2 ~0JiC>)
. , HNr
, ,....
. . . -lOB DESCRIPTION . ...h ,..1
~) Wl\11Y\p ~ L-lfw 'Tel ~~
Permits are non-transferable and ex~
if work is not started within 1BO days
of issuance or if work is suspended for
1BO days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor -.C..t3 <"~li'1~ ) O"~.
I .
Address P. () ,~..d Jd.~ 1-->
City,J r ~,0hll) Phone..1!l:l.::n 30
Supervisor 8cen.se Number It-, 2 '" ~
Expiration Date 10-1 -95
Constr Contr. Number 03249
Expiration Date q -1-qJ,
Signature of Supervising Electrician
io ~2.~L o-7~p? D.
Owners Na,meTrl ~ ~\~O I~~H~I'{\ I ~ fli\O..
Address qq(.) \:Ia.r\. \ o~ ~ \ .
City Pu ~..L"l'\O \ Phone +g~ -30010
mINER INSTALLATION JUi:t, 28D 2
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
Cost
Sum
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ~o
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 volts
Branch Circuits
$ 40.00
$ 55.00
$ BO.OO
see liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35,00
$ 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
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ?y-r-99'
RECEIPT I: / / '''1'':2.
RECEIVED BY:,~;-~, ...
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
5f'l.D,n
'J..50
.')1,5'0