HomeMy WebLinkAboutPermit Electrical 1998-3-23
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225 FIFTH STREET -;".0 ,~4'e! ' t;tECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 "'0 ~. q 0 0 () Q' 1
INSPECTION REQUEST: 726-3769 ()1)!!~o~ 160-4i !y\ Ci ty Job NUJIlb~r ~ 0
OFFICE: 726-3759 _ ~-'2 ~-1~ ~~ /,<- -'
, !rOO ~~3 .,.()A'CO~~E FEE SCHEDULE BELOV
10 LOCATION fAftM"tLATIOJl 0 II . Va 'iY~J' 'Ih
83A. Cd). l ~, I//LUlA (Jilt//) , . A"'~d3ev~e~ential-Single or
~At1V~mily per dvelling unit.
S~ice Included: .'
Items Cost
LFf7 ~~'JEJ4 05300 .
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JQB DESCRInION . // /./" '. I . .
~-tr> (JaM~
Permits a~ no~-transferable and expire
if vork is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
. Electrical Contractor L.R~ Brabham, Inc.
Address 68;West~'Q~'Street
City Spri ngfiel d Phone 747-6638
Supervisor License Number
1473S
Expiration Date 10/01/98
Constr Contr. Number 08699
1000 sq.ft. or .less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home,or
Modular.'Dvelling'
Service or Feeder
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
Ove~ 1000 amps/volts
Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ~~/~
$ 60.00
$100.00
$130.00
$300000
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
1 2/18/980';'
Signature of Supervising Electrician
~7 ~ A/-k.
Ovners Name UJr<.L \.Iw.d~a............
Address 3-3;)" tAl. ('RA/II~ Idvd
Ci ty ~I/j'-Ld. Phone74/ . :g () I d.-.
I i
OVNER INSTALLATION
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55000
Over 401 to 600 amps $ 80000
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
,.
One Circuit $ 35.00
Each Additional
Circui t or vi th Service '~/I /1'7\
or' Feeder Permi t 0<. $ 2.00 rt c/u
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~~~gnature:
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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DATE:
RECEIPT #:
RECEIVED BY:
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
.$ 36.00
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