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HomeMy WebLinkAboutPermit Electrical 1993-1-22 Sl'llINUrlCLO " , . tit \JCla 225 FIFTH ST\U!BT The. following project a9 .~bmltled has the foll45lllltTRICAL PERMIT APPLICATj ~ ,:1 ' SPRINGFIELD OREGON 971i!lng, and does not require specific land usa . q '2J~' \\ J-S . , roval. INSPECrION REQUESTI 72 -3769. I , '" "I) City Job Number ~ ~ OFFICE: 726-3759 Zoning h <LJI\C- Dat. 11 b? 1131~ ~l- CO~PLETE FEE SCHEDULE BELOV 1. LOCATIQ.NOF INSTALlATION 0 - '1',3 , 0\503 Du'WlA-'5---P;Uthcrizedsignature "c.:, J.. Ii... ;h;..lJ..ntlal-Slngle or ' Hultl~Famlly per dwelling unit. Service Includedl \~~~~f~~ON rf)\Lq .JOB DESCRIPT,ION L WLlU" PA-tvlU1 'f2.Dr.lVV\~ u~th Il-flnlTlOrj .Permits are non-transferable and eXPir~:?:7.31 If work Is not started within 180 days of issuance or if work is suspended for '180 days. 2. 'CONTRAClOR INSTALLATION ONLY 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or . Hodular Dwelling Service or Feeder . Electrical Contractor L.R. BRABHM1, INC. B. Services or Feeders Installation, Alterations or Relocation: Address 68 W. "Q". SL, 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 SPFLD Phone 747-6638, Supervisor License Number 14735 Expiration Date 10/1/95 Items Cost Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 Constr Contr. Number 08699 loW18/93 ' 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 Expiration Date x SI!"a~e ~f Supervising Electrician ,7.,-... ~ A JL Ow~ers ~elM~'\-tH:iyJ;~'Ie"bUt.hIID. Address~03 DtN>>1~ Ci ty t; otGD One Circuit Each Additional Circuit or with Service or Feeder Permit ( Branch Ci rcui ts New, Alteration or Extension Per Panel . E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm Phone I . OlINER INSTALLATION The installation. is being made on property I own which Is not intended for sale, lease or rent. Owners Signature: . ~ATE: - u'~:-{1()..fu . ~~~\ RECEx'ri I: -':::JjitJ ')\ RECEIVED BY: (. . \J'f 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $,35.00 35.CO $ 2.00 ~ ,00 $ 40.00 $ 40.00 $ 20.00 S 36.00 37.00 l,<65 ;>,~.~c;