HomeMy WebLinkAboutPermit Electrical 2001-9-24
. . . I
The. following project as submittad has the following
zOOlng, and does not require specific land use
approval. . I ._,
ZOning LAYI
Date ~I
225 FIFTII STREET ALJlhodzed Signature ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747/
INSPECTION REQUEST: 726-3769 Ci ty Job Number 01-00 93/-01
OFFICE: 726-3759
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1. .J.QCATIJlN OF IN~'IjALLAT~Nf} n. 0
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LEGAL DESCRIPTION
i70;. 7...7(0 03.907
. __ -lOB DESCRIPTION j .
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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 68 West "Q" Street
Ci ty Springfield
Phone 747-6638
Supervisor License Number 1473~
Expiration Date
10/01/01
08699
Constr Contr. Number
Expiration Date
'12/18/02
Si~9~: SUP:;?:Zician
own:r's--:~Lp EI1I:ue I'~JnC-
. .
Address~l1dntJ;h1&4. ;?/5 N: l17~
,
City1);u;vuperd IA Phone 74(,' /67/
5;}.,,~/-115;J.. JJ~t6 Tb{JJ~
OVNER INSTALLATION V
The installation is being made on E.
property I owr. which is not intended
for sale. lease or rent.
Ovners Signature:
----------------------------------;;sf---
DATE: . Og-Zg-C5 r "
RECEIPT &: _.
RECEIVED DY: 1)0"'>
COHPLETE FEE SCHEDULE DELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
~ooo sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Hanuf'd Home. or
Hodular 'Dwelling
Service or Feeder
.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
It ems Cos t
Sum
$_85.,00
$ 15.00
$ 40.00
S 50,00
$ 60.00
S100.00
$130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
-. 200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Dranch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above'
New, Alteration or
Exter/ion $ ~e~, ttl
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
,
S 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7 lI% State Surcharge
~~ Administrative Fee
TOTAL
$ 40.00
$. 4Qr.,00-l
$ 20:;:0g 55
$ 36:d1a 1:;:;
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