HomeMy WebLinkAboutPermit Electrical 2000-12-15
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Th". following proj".cl as subminBd has th". following ,
zonIng, and does not require specific land use ___ .
225 FIFTH STREET approval ~J.rNUI.J.CAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L.... tJ rL Dq (/ dct
INSPECIION REQUEST: 726-3769 (;:)--r$ -/YO I;H)' Job NUlllber - / II ^
OFFICE: 726-3759 Oat". . j . .. .
A"lnunZM Signatu,e ~. COMPLETE FEE SCIIEDULE BELOV
1. J.9CAT:J;.ON OF INS;~LATION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
. Electrical Contractor L.R; Brabham, Inc.
Address 68 'Wes t "Q" Street
City Springfield Phone 747-6638
Supervisor License Numb~r 14735
Expiration Date 10/01/l?i
Constr Contr, Number, 08699
Expiration Date
12/18/CV
Signatu~ of Supervising Electrician
/51'1. j L ~.-//
Ovners N~ brYv\ W I$c. . - -
Address Z/ I D LA 1))'<.11. ~ .
City5pflJ) I Phone 72b -- 711+
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~s~gnature:
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RECEIPT I: 'I lIS flJl.C:>l!
RECEIVED BY: ~ "//1/1 J'L.--"-'
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof.>-. i
Each Hanuf'd' Home. or
Modular:'Dvelling'
Service or Feeder
.B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
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
'l"c,'
. '<
",(,
$ 50.00..':> 5t!.-
$ 60.0.0 v(
$100.00
. $130.pO
$300.00
$ 40.00
C. Temporary Services or Feeders.
Installation, Alteration or Relocation
200 amp~'oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401A~ 600 amps $ 80.00
Over 60~.lulilllCor 1000 volts see "B" above
ftrsA ~.
D. Branch~.rdw,t$.,. : .
0'-"10..9, '" .SIt,' .
NeVr4/iY~8-.~~E"I3.'P),sion Per Panel
180 'f:Da 'l2'R.,.,. rRl:r~ .
One Circu~YA 'RrS"IEJ.''''frst;>_ t$!e1i.'OO
Each Addition!fl;>ra ~IvD "''''ffl.1tr WORtr
Circuit or vith rservic~l:D rSIv~
or Feeder Permi t FtJR 2:uu
E. Miscellaneous (Serviceifeeder not
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
7 ~ State Surcharge
3% Administrative Fee
TOTAL
. '~".'i""'_"
included)
S 40.00
S 40.00
$ 20.00
$ 36.00
56.-
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