HomeMy WebLinkAboutPermit Electrical 1993-12-27
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225 FIu.n SnEET -/ ''''';~~:;'::;';~~(f.'ri'1jj~~i~' ".,. ELECTRICAL PERMIT Al'PLICATrON
SPRINGFIELD, OREGON 97477 '," "'C ....'v. 'CD,i),~:.rl.dtrt.;~~i:tr~~!J,I!tlli,ttt':" ( , C 'J\' crl((2,r ;
~~~~~IO;2~~~r: 726-3769 .,(;~r,/lilIJ1JJJJ:- "~~#~/1.P,~(t~9,' Number 0 rry
f:I".",.~J.a.~:.f~~C~LETE FEE SCHEDULE BELOV,
,1. LOCA'9j~NOP INSTALLATI9Nnorlz&d' .!- u, '
~fo(J() L()l11me-I<.(!//ft- Slgnature~v Residential-Single or '
. rI~~ J;l~S~PTIONOleeM4" (JeJJ/I1<. ' se~~~:~ I dwelling uni t.
1-' A Jal..) \ \ 'd\ (Yy rf'f) Items Cost Sum
S.....NGr-.IlLO
r:IJb/Jlll~ilie~I~. w ~e' sfl/flB
~~~1?ts 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
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
, Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
'Electrical Contractor l.R. BRABHM~, INC.
B. Services or Feeders
Installation, Alterations or
Relocation:
City SPFLD
Phone 747-6638',
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
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sa ,IJ{)
Address 68 W. "QU SL,
~
Supervisor License Number 14735
Expiratipn Date 10/1/95
Constr Contr. Number 08699
Expiration Date12/18/95 '~, ,.
.
C. Temporary Services or Feeders
Installation, Alteration or Relocation ,
Signature of Supervising Electrician
~ /~~;.-
Owners '-meJohn LfJb~
Address 3fRtJO fl,t! m /n~ e~
citySfJHIJ. Phone 1'-16 '73(PcJ
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 '
OWER INSTALLATION
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$35.00
$ 2.00
The installation, is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Owners Signature:
,
RECEIVED B . jn. ~.-
, . ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
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0< ,SO
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