HomeMy WebLinkAboutPermit Electrical 1993-6-29
'. '/,,<;<>c+, s submitted hutf'lefollowing . ~
225 FIFTH STREET "fh, ~i~O~IO:~~,j~,',~ ':'!, ~o':;iJi'0 specific land US!LECTRICAL PERMIT APPLIC~A, TION , .
SPRINGFIELD, OREGON 974i~pro~al. ("]>Qr, " '
INSPECTION REQUEST: 726-3769ZonjI1S._..~e.... , City Job Number -/U '.1'
OFFICE: 726-3759 I
Date vb"'J.CJ?;? 3. COMPLETE FEE SCHEDULE BELOV
1. LOC, ATJe,N N, OF INST, ALLAT;r...ON ized Signature ,~
-1~;;;-:J.. LE N1ENNI/f{- Au.lIor . A.
LEG,A!.__DE~CRIPTJON ,'~
\'1 { )__=>) ~~ 6::\ rTl~rY )
JPlJI DESCRIPTION _ J
~OOH 5;@(./JlflE CII1/fN6G'
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 B.
Electrical Contractor L.R. BRABHM~~ INC.
Address68 W. IIQII 5T., .~ em::"
Ci ty SPFLD
Phone 747-6638
Supervisor License Number /473 5
Expiration Date lo/l/~5
I I
Constr Contr. Number 08699
Expiration Date
10/18/93 '
"^
SZf/rv~~an
/ . /'
Owners Name~ (:!rtft12y0tallJ
Address 3-~ 10' -G", A-mFtZ/JfJ
Ci tyJ~ U(,t1!.E: Phone ~7~ I ~7q 4-
. mINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent. '
Owners Signature:
. DA~~~---~\tJ2-;~~-z:t~---~-:----
RECEIPT #: r~ _, '"' -i::J.q( (J
RECEIVED BY: I j, ~Y '.
. ~-
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
209 amps or less I $ 50.00 StJ I Of)
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40..00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel'
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$',35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump ,or irrigation
Sign/Outline Lighting
Limit~d Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTA~i '
~k
\.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
50 I (jO
(p. Sf)
&).;? I 5n