HomeMy WebLinkAboutPermit Electrical 1992-12-28 (2)
,
. Th t.ing project as submitted ha~ ths following . ~
e, " t 're speel1ic land usa ,."r
225 FIFrII STREET ZOning. end does no rsqUl ELECTRICAL PERMIT APPLICATry
SPRINGFIELD, OREGON 9747f'oval. L,rn r . . (7/ f\ \ 5:2..
INSPECTION REQUEST: 7Z6_37690nino City Job Number ~ [ C\ )
OFFICE: 7Z6-3759 Date_I'"rl.' ;}. ~ -q a '-""
.t rtmted Signature S <. 3. COHPLETE FRE SCHEDULE BELOV
al
Jrm~ffPWi5ION ()~q() 7
A. New Residential-Single or .
Hulti-Family per dwelling unit.
Service Included:
~ 1000 sq. ft. or less
G ftin! Y/L. Each additional 500
'. .k, sq. ft or portion
Permi ts are non-transferable and expirra6.?11 thereof
if work is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Modular Dwelling
'180 days. Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. . CONTRACTOR INSTALLATION ONLY B. .Services or Feeders
Installation, Alterations or
Electrical Contractor l. R. Bra bh.am, Inc. Relocation:
Address 68 West "Q"Street
City Springfield
Phone 747-6638
Supervisor License Number 14735
Expiration Date .10/1/95
Constr Contr. Number 08699
Expiration Date 12/18/91.
Signature of Supervising Electrician
~-,~ A. fi~
.. ,-1-
Owners NameSfJ/(IAlbFlel!J ),)E3JJ5
Address n 27 {Jj-tUfl! 517rt:21
Ci ty5 fJHlJ . Phone 74-6. ) fo 1/
(
OVNER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----------~------7~~~~~
RECEIPT Ii: ~ I) J-.
RECEIVED BY: -('~. .. /~ )
~ -
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 vol ts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcult
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35,(j)
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
/ 5% State Surcharge
TOTAL
$ 40.00
$ 40.00 .
$ 20.00
$ 36.00
35.00
I, Ie:,
~c.,.lc;:,