HomeMy WebLinkAboutPermit Electrical 1992-1-31
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225 FIFTH STREET i. (,:' ':'>.:;'0 ',\'" ELECTRICAL P'ERMIT APPLICATION
SPRINGFIEW, OREGON 97477 "'-:-'\(<:"~~"'~"'" '" '
INSPECTION REQUEST: 7~~';}~6j;;';'\'-p' Y 2:i )""1ob Number
OFFICE: 726-3759 \' ,,"':''',.\. , ~
't~,:.",...,. .,;,\<:t,'bj-~ , ..---c0 LETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION . ... .:)\..-- -
975 Fafrvie\1 .. Y:.d,-;;<fJ/ A. New Residential-Single or
V" ...''''_. Multi-Family per dwelling unit.
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\ 1f~E~r 08.:'1'60 Service Included:
JOB DESCRIPTION
Change service meter location
Permits 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
'Electrical ContractorL.R: Brabham, Inc.'
Address nR Wp<; t "n" Street
City Springfield
Phone 747-6638
Supervisor License Number
Expiration Date 10/1/92
1473S
Constr Contr. Number
8699
12/18/92
Expiration Date
Signature of Supervising Electrician
~./I. 43',.J/___
,
Owners Name John Chur.chi11
Address
975 Fairview
City Springfield,
747;8945
Phone
OVNER INSTALLATION
The installation is being made on
property I 'own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~---~-r~~;:-~EJ[--~~----~--------
RECEIPT, II: .L.-.. IL ....:::; (t?3f )
RECEIVED B~/)7/~
SI.'IINGr-IELO
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less n
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
50.00
z.~o
52.50