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HomeMy WebLinkAboutPermit Electrical 1996-1-12 , u: 48 'usn 7U 3889 '~ ,tlPo!~!XfJrA~'k~ ~~OO\,~,~ \~~WN , . . : '.- , ~~ning, and dQeQ f\~ i~.rr,~~~ 1M\1 ~ ' " ~ . \\tad has the follOafJproval. " , olec u~m ifle land use " L _ .,-~,.-di' 'The fo\\Ow\ngd~es not require spec Zonina f'{Ll.::. , zoning. and , _ : ' o\lal. Date \ - , 2 4 \P S"RINCftl~L9 ~"-" .'., ll118IU .. . ....- . .. ; ,t '" · : IlJOOZ . Date 'ad Slgnatu~ f CF"G~f:;./IIe~ {j Tt/ "225 FIFtH s1tfii1f , J . 7 SPRINGFIELD, OREGON 97477 Vat; -I: q5-d3 tfLt INSPECTION MOUE'ST: 726-3769 ' OFFICE: 726-3759 , 1. LOCATIOp, OF INSTALLA'fIOll A" 3505 CI.2f/)1/l?Enet./TL- ... '. . t~\ . " JOB DESCRIPTION " - ,. UJlIetr tv/l-?eH' ~.,cIL-I'cs;('-StfS'-,-- ---- J~~ I ',Perm! ts are non-transferable and expire if work is not started'"within 180 days of issuance or if. work it suspen~ed for 180 days. :! · CONTRACTOR INSTALLATION ONLY Electrical Contractor L.R. Brabham, Inc. Address 68 Wes t "Q" Street Ciiy 5pringfield,Phone74i~S~3i . , Supesvisor License Number 14735 EKpi~ation Date 10!1/96 Constr Contr. Number 08699 Expiration Date 12/18/96 . - -. -" --- _.~---~ -" - Signa ure of Supervising Electrieian ~ -,', '.4 ~~L- , OVk'lers ameG-ll-1ttt//IIIr/tlett 6tue17BII " '/ I _ ~ Address-3S0S (!iJVY1mBJeer/rL ci~y~f)(I..d, , _Phone 7,?,(P, 7/76 , OVNE~ INSTALLATION , ',.,;;."'- ---::_J_ ELECTRICAL PEIOOT APPLICATION ' C\ ~d'\\ City Job' NWlIbe'r - 3. COMPLETE FEE SCHEDULE BELOV A. Nev Residential-Single or , , J.Olti-Fculllly per dvelling unit. Servl~e Includedl " Items Cost Sum 1000 s.q,.J.t.,.-.9J"_1.ess__ ._. . . _ Each-:-addi t10nal 500' sq. ft or portion thereot Each Kanuf'd'Home or Modular Dwelling ,. Service or Feeder -$85.00-, ' ... ~.~.. . - ." $ 15.00 '.', .. $ 40.00 - B. Services or Feeders Installation, AlterAtions or Relocation; 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 / $ 50.00 $ 60~00 $100.00 $130.00 - $300.00 $ 40.00 .. Sd" (JO c. Temporary Services or feeders Installation, Alteration or Relocation 200 am~s orles~ ~"...- .. 201 amps to 400 amps $ 55.00 Over 401 to 600 amps ' $ 80.00 Over 600 amps or 1000 volts see "B" above , -$-40,.,00,. D.Branch Circuits Nev, Alteration or Extension Per Panel One Circuit \t/ $ 35.00 ~ Each Additional ~ ; Circ.uit or \lith Ser~!ced' I'''', L 0' 't) r!- or Feeder Permit ~Q.2' $ 2.00 .~U ~. E. Hiscellaneous (Service/feeder not included) -Each installation' . Pump or 1~riBation , $ 40.00 Sign/Outline Lighting~ $ 40.00 Limited Energy/R.s - S 20.00 Limited Energy/Comm . S 36.00 .. -: ,D '2 The installation is being made on property I ovn "hleh is not intended Cor sAle, lease or tent. , Owners Signature: ~;"-~=-~-----~---:"\-.7tl7+~ '5. =n " ~. '~'I(JJ'o't .~.~~BY'."'..; drJiV....... SUBTOTAL OF ABOVE Sf. Stats--Surchs.rge 3% Administrative Fee TOTAL " rj) lDt. , ~.lO. , \r 81o