HomeMy WebLinkAboutPermit Electrical 1992-1-31
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225 FIFTH STREET f(\1,;-,eo.\\v \\:;.\I'~' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ,.(t!}ps~~\'~fi:9(l<;i1;. . f1 \ \/\lo A
INSPECTION REQUEST: 726-376~,\~~~~:~6~C';,,0(\'\ City Job Number '-"\\ J""
OFFICE: 726-3759 :(3 ,o\\C~f'o. t:,iJQ .
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1-0':~4!z\' 3. COHPLET ~E SCHEDULE BELOV
1. LOCATI~N O~ INSTALLA'P-ION t.o~~~ '1 ~_ A
3700 Co"",e rm 1 \)""''''~ ~",;\i M~~ t~~~::~~; I ~~~s ~~;~ ~ l~; un It.
LEGAL DE~~~ON (~~~~~~. Service Included:
--lJ/)~.\.~~L)(), o;j>~j<"" . Items
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Cost
Sum
JOB DESCRIPTION
. Wi ri ng of newsawmii" . (add. fees on Ci ty Job
#9+Ge&17
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
· Electrical ContractorL.R. BRABHA~1, INC.'
Address 68 West UQII Street.
B. Services or Fe~ders
Installation, Alterations or
Relocation:
Ci tySpri ngfie 1 d.,
Phone 747"':6638
200 amps or less 1 $ 50.00 50;00
201 amps to 400 amps $ 60.00
401 amps to 600 amps 2 $100.00 200.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts .~ $300.00 bUU.UO
Reconnect Only $ 40.00
Supervisor License Nrimber 1473S
Expiration Date
10/1/92
Constr Contr. Number
8699'
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12/18/92
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Signature of Supervising Electrician
L-v,d A~
Owners ~J>regon' Ced~rproducts"
D.
Branch Circuits
Address
3700 Commercial
New, Alteration or Extension Per Panel
Ci ty Springfie1 d
Phone 746",7364
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit 76
$ 35.00
OVNER INSTALLATION
$ 2.00152.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump.or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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RECEr'PT #: I.. /J . ,'elJ.a.' j I
RECEIVED BY: (? ( .I. ~. - .
5. SUBTOTAL OF ABOVE 1002.00
5% State Surcharge 50.10
,TOTAL . IUoZ.IU
LESS PREVo CHECK 10/16/91 (JIO.UU)
TOTAL BALANCE DUE: . . . . 737.10
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