HomeMy WebLinkAboutPermit Electrical 1994-1-11
. .' _\ ,_ bmitted has the following ~
225 FIr lO STREET ';~~:~~i!!.O:~~~~~~~~t~;~~\re sp~?;1ic land use ELECTRICAL PERMIT Al'PLICATION
SPRINGFIELD, OREGON 9il41\7:.!.
INSPECTION REQUEST: 726-~1,~?lfLJ~ - City Job Number ~I S<5.?q
OFFICE: 726-3759 o:M._._~lLd.9~._.- 3. COHPLETEFEE SCHEDULE BELOV
1.::2. ,LOCAT~N OF INSTALLATIO ;iOni.\\Ure_~/.- ,~-x€l
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LEGAL ~ESCRIPTION (jf.Ebb n ~
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Permits are non-transferable and expire
if work is not started within 180 days
cf h:suanC3 cr if .~..crk is suspended for
'180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.R. BRABHAM, INC.
Address 68 W.
IIQU. ST
. ,
City SPFLD
Phone 747-6638.
Supervisor License Ntimber 14735
Expiration Date 10/1/95
Constr Contr. Number
OS699
Expiration Date 12/1S/94
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Sign. a~~e of Supervising Electrician
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":" Owners NteJ O~ Yl LAtukG-
Address ~(PD() Cffmrn~~
City S-1P~ f Phone 74-~ '73(P~
r
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DAT;:---------,l~~\0~-----------------
RECEIPT I: 1/2.,L-j n
RECEIVED BY: IS:) p"
....1 .. . ~. .... .. . ~ ._
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New Residential-Single or .
Multi-Family per dwelling unit.
Service Included:
Items
.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
. 0 . Modular D.....elling
Service or Feeder
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less I
, 201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 s/) t?L?
$ 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 Circu~ts
New, Alteration or Extension Per Panel'
One Circuit $35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00~/t1t?
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
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