HomeMy WebLinkAboutPermit Electrical 1994-10-17
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225 FIFTH STREET . The followi n\~ project as sUbmittad'f~"$1 thP.~oetRtCAL PERMIT APPLIC~tlION '
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SPRINGFIELD, OREGON 97477 Z0rHng: ("p, coos o. . " '\'
INSPECfION REQUEST: 726_37i690\l31. . 1 1)/2,/ ,City Job Number "
OFFICE: 726-3759 ZOO;~ LA/, -. ' " "'"
3. COMPLETE FEE SCHEDULE BELOV
fide '
'::J .tJ~iT~j-d>>~~M~l~~(;f~rired Si9nature.fi-t\'; N~. a~;)16en( IiI-Single or '
, Hulti-Family per dwelling unit.
. \gGAL DjtS,CRIPTION ~"f-V~ Service Included: Items Cost Sum
rIQ3~<44 \~O_o./
, !~~.. ~SFPPTION
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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. BRABHN4, INC.
Address 68 W. "QU ST ~ ,
City SPFlD Phone 747-6638,
Supervisor License Number 14735
Expiration Date 10/1/95
Constr Contr. Number
08699
Expiration Date 12/18/94~~~'.~~-ri,~~i
Signature of Supervising Electrician
~:L A--/L
Owners Name J Ifek. 1/!fa 61-7 17 ,
Address /~ b i (ielfl!-e:711 /JI /p-{
Ci ty S P fliJ . Phone '7 if t, ( ;;, / ~ 7
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I: (
RECEIVED BY: (-
-~------~- -----
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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
Reloca tion:
200 amps or less J
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 So ,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 $35.00
Each Additional
Circuit or with Service ;/
or Feeder Permit ~ $ ~.OO
ZOD
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
S~,OD
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