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HomeMy WebLinkAboutPermit Electrical 1995-5-8 (2) /. I I i 11/18/9t 15:46 U503 126 3689 e. .' SPFD DEV. SER. III 002 . 225 FIFtH STREET Zonino SPRINGFIELD, OREGON 97477 INSPEcTION REQUE'ST: 726'1'3-16; I OFFICE: 726-3759 Authorized Signature CITY OF SPRINGFIELD PROJECT #1-864 GATEWAY ST. N.3. . 1. LOCATION OF INSTALLATION Electricoservice, located on signal pole on r~w A. corner Belt.! ine/Gateway IntersectlOn LEGAL DESCRIPTION JOB DES.CRXP'fION Install serVlceror power to 'signal pole. I Permits are non-transferable and expire if work is not started-'within 180 days of issuance or if. work is suspe~ed for 180 days. 2. CONTRACTOR INSTALLATION ONLY Electrical ContractoJL.R. Brabham, Inc. Address 68 West "Q" Street City Springfieid Phone747=5638 1473S x Supe~visor License Number Expi~ation Date 10/1/95 Constr Contr. Number 08699 Expiration Date 12/18/95 Si~ of Supervising Ele~ian '"_,.J L ~I Ow~ers Na~ity of Sprin9field Address 225 Fifth Street City Springfield Phone 726-3753 OlINER INSTALLATION The installation is being made on property I own which is not intended Cor sale, lease or rent. . Owners Signature: DA;;;--=-~q;---- , </ ----.---------- 1lECEt~, ilI'1 IN"~' RECEIVED BY: ' .~- .:, -~-' - . - ".' ( ELECTRICAL PERJaT APPLICATION Cit~ JOb'Number~~~ COMPLETE FEE SCHEDULE BELOV New Residential-Single or , Multi-Family per dwelling Unit. Service Included I ' ' Items Cost Sum 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Kanuf'd Home or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 40.00 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 1 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 50100 c. Temporary Services or reeders Installation, Alteration or Relocation D. 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" aoove New, Alteration or Extension Per Panel One Ci rcu it Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installetion . Pump or irrigation $ 40.00 Sign/Outline Lighting----- $ 40.00 Limited Energy/Res ----- $ 20.00 Limited Energy/Comm . S 36.00 5. SUBTOTAL OF ABOVE SD. IJO S% S ta te Surcharge --il ' c:,n 3% Administrative Fee I. C; (? TOTAL c:, I.j. no - .