HomeMy WebLinkAboutPermit Electrical 1994-1-31
. ~
225 FIFTH STREET .Ieel as submllted r'(~~~ ~C&ICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477rhe.l0\\O:~~gd~~~ nonequire epee ,e .'
INSPECrxON REQUEST: 726$al. City Job Number 0) Lj 009'-/
OFFICE: 726-3759 'n (" (' -
~zonl g qeL 3. COMPLETE FEE SCHEDULE BELOV
1. 1QCATIONOF INSTAI\LAT .f' - -
J'b60 C;~" /1" .' ne\ure_~ -ii..w J<esidential-Single or . .
L().,jD~A-IJ'h f.hQ.:+ ItULJ'" Multi-Family per dwelling unit.
':I"'1:2G'IiL !;'OUPT ON .' Service Included I
I J n2.., 2...1_"2... I \),-:J..,CO Items Cost Sum
'../ J.OB DES~tf!}e~, _
'yN0tMJ. OWI~V'JlI.-&fJjJJff!}eJJ '-
.Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
. 180 days.
2. . CONTRACTOR INSTALLATION ONLY
'Electrical Contractor L.R. BRABHM4, INC.
Address 68 W. "Q" 5L,
Ci ty 5PFLD
Phone 747 -6638 .
Supervisor License Number 14735
Expiration Date 10{1{95
Constr Contr. Number
08699
Expiration Date 12{18{94.~
. . --'-- .
. ...:~~.
"
Signature of Supervising Electrician
7/A~-
Owners Name LI N DA- 0tf<..rAdJ..'f.
Address 1~3b So, 1\ A" ~
City 6/ptW, Phone 1%. 7t.f1/
OVNER INSTALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE: ---------ll~~T;-~---------------
RECEIPT I: I Jc:,O(~
RECEIVED BY: Qo.
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:
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
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or .1000 volts see "B" above
D, Branch Circuits
New, Alteration or Extension Per Panel'
One Circuit l $ 35.00 35 ,DO
Each Additional
Circuit or.with Service
or Feeder Permi t $ 2.00.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
35,DO
'/::'
-:>, to. -7 C:j