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HomeMy WebLinkAboutPermit Electrical 1995-8-31 11118191 18:16 V803 126 3689 .' -, . SPFD [lEV. SER. . IlJ002 .. "'-.. u~ . The. following project as submitted has the followin zonIng, and does not require specific land use 225 FIFtH STREET epproval.. ELECTRICAL PERHIT Al'PLICAT 0 SPRINGFIElD, OREGON 97477 . /., O~ \ OFFICE: 726-3759 Date_ _ _ :-- . .; - N II~. COMPLETE FEE SCIlEDULE BELOV 1. LOCATION OF INSTArli~lj Slgneture IV'\: . \lcA/~LAWNRIDGE A. Nelol Residential-Single 01' '.' . tlulti-Fallllly per dvelling Unit. . \J.fcq.~S~rION D'\~ Service Included: Items' Cost Sum 0_ ..s. JOB DESCRlmON Connect Hot T/Jh Permits ate non-transf~rable and expire if IoIork is not started'IoIithin 180 days of issuance or if'IoIork is suspended for 180 days. 2. CONTRAcrOR INSTALLATION ONLY B. Electrical Contractor L.R. Brabham, Inc. Address 68 Wes t "Q" Street City Sprinqfie1d, Phone 747-6638 Supe~visor License Number Expiration Date 10/1/95 14735 Constr Contr. Number 08699 Expiration Date 12/18/95 Si~~ure of Supervising Electrieian ~n/l .~~~ o;ners ~e Janet FrYback \loQ I L . Address ~ awnrldqe City Sprinqfie1d l'hone7 47 -4170 OVNER INSTALLATION The installation is being made on property I ololn IoIhich is not intended Cor sale, lease or rent. . Ovners Signature: . - J :\--rtc::------ ~A;~;------------ T\'. ~\'Y\: 1'. . . R8CEIfT II: ~ ,:. h'!';() 1 . RECEIVED BY: ~~~~ ' . . . . . . 1000 sq.ft. or less Each additional 500 sq. ft or portion thereat Each Kanuf'd'Uome or Hodular Dwelling Service or Feeder Serviees or Feeders' Installation, Alterations or Reloca t ion; 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 c. $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 / Temporary Services or' leeders Installation, Alteration or Relocation D. 200 amrs or less 201 amps to 400 amps ----- Over 401 to 600 amps Over 600 amps or lOOv VOlts Br anch C1rcui Is $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or E~tension Per Panel One Circuit 1 Each Addi liona! Circuit or IoIith Service or Feeder Permit E. $ 35.00 35.00 $ 2.00 Hiscellaneous (Service/feeder not included) -Eaeh installation . Pump or itcigation Sign/Outline Lightin~----- Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $ 40.00 $ 40.00 $ 20.00 $ ,36.00 35 :{)O 1./5 1.05 3/.~u