HomeMy WebLinkAboutPermit Electrical 1992-8-26
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Rd, go approx. 1/4 li1'r~tlcfiiWlI:M~w,A , .
225 FIITH STREET into "fiel'd service pole "l:'l.tcnuCAL PERMIT APPLICAT04-ION
SPRINGFIELD, OREGON 97477 CoapRrox. l/2mTte- _ ,(1(\ \\
INSPECTION REQUEST: 726-3~~~ ~~ City Job Number ~~\
OFFICE: 726-3759 'C.'lI:c;i s;!)n:':,;~ ' ,
-3-:-COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
* se~ above A. New Residential-Single or
~~';i ,u"owlng project as sublmil,~tiiIIIl9!fJ.;r: Der dwelling uni t.
LEGAL DESCRIPTION appr~~~rnd does not requir~tcen;Zi~i~'i~~d:
TAX.LOT#17-03-15-00-03500 _ j m I Items Cost
JOB DESCRIPTION Date ~&~ 1000 sq.ft. or less $ 85.00
Repair irrigation pump servicg'.h.~""E1_' . -'f.-l-f.ach additional 500
, -...,o<<l""'--LLL..lsJ!. ft or portion
Permits'are non-transferable and expire thereof -~ $ 15.00
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for 'Modular Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY
B. ,Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor L,R. Brabham, Inc.
#2299
Address 68 W. "Q" Street, Spfl d, OR g7477
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
City
Phone 747-6638
Supervisor License Number 1473S
Expiration Date 10/1/92
Constr Contr. Number 08699
Sum
$ 50.00
$ 60.00
$100.00
$130.{)0
$300.00
$ 40.00
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
Signature of Supervising Electrician
y ~./t. .A~
/
Owners Name Harold E. Rice
Address 363~Game Farm Road
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see liB" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
City Spfld
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
Phone
726-7050
OVNER INSTALLATION
The installation, is being made on
property I own which is not intended
for sale, lease or rent.
E.
Owners Signature:
~AT;~----~-~;(J'rC)-~L:\~~-~---------
RECEIPT Ii: i\{ O( J~~
RECEIVED BY: eK,I.;1 ~ )
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35,00
$ 2.00
not included)
1
$ 40.00
$ 40.00
$ 20.00
$ 36.00
40.00
z.oa
42.00
40,00