HomeMy WebLinkAboutPermit Electrical 1995-9-1
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'225 FIFfB STREET .o..,~Zoning_l'v\ 0/2/ _ ELECTRICAL PERKIT APPLICATION
Sl'RINGFII!W, OREGON 9741/ n '-:.2./ /I
INSPI!C1'rON REQuEsT: 72M?, d ,. .. \\J City Job Nl.lIIIber l..1 5\4, )Llj
OFfICE: 726-3759 -- ""gn"IUIO-=-~
3. --coMPm.ILtEE SCIlEDULE BELaV
1.3 LOCATI,RN OF INSTALLATION
D33/J;Iht::WItV A. New Residential-Single or .
:"'~.iP -,..,rlti:JPIc.. I/tIIlf6€ /IflIS. Hillti-Fllmily per dwelling unit.
....l.llXt.Et-~:nl'T~~ ltfD Service Includedl Items. Cost
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I'J JOB DESCRIPTION .
rrE;:fJll1-f!-e dorY It- ~V/e.G
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Permits are non-transf~rable 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 Contractor L.R. Brabham, Inc.
Address 68 West "Q" Street
City SprinQfield.
Phone 747-6638
Supervisor License Number 14735
. --
Expiration Date 10/1/95
Constr Contr. Number 08699
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Expiration Date 12/18/95
Si~at~e Of. Supervising Electrician
:7 / -Jf AP' AfJ~
Owners NaCb, '6, s, r , -r~ J ;;{ I
Address/070 /II, euRllS. If.)).
Ci ty I3{)/S~ J W I'hon{;;?og) 3~, 552
'X?/JtJb
OIlNER INS'tALLATION
The installation is being made on
property I own which is not intended
Cor sale, lease or rent.
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Owners Signature:
-- fl------r-rc----------
DATE: ----- - '\ ' \ . '-'\ .-;;, .
.~..~7i' if: \!I t"f,Ci \\
RECEIVED BY: ~ 11...:Y-- -------"
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereot
Each Kanuf'd.Home or
Hodular Dwelling
Setvice or Feedet
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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 5~ICO
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or heders
Xnstallation, Alteration or Relocation
200 amrs or less $ 40.00
201 amps to 400 amps. S 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100v VOHs see hS" aoove
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcult
Eech Addi tional
Circuit or vith Servic~
or Feeder Ferllli t /0{
$ 35.00
$ 2.00 iXtftJO
E. Hiscellaneous (Service/feeder not included)
-Each installation .
Fump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ----- S 20.00
Limited Energy/Comm $ 36.00
7i{)O
7'7D
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5. SUBTOTAL OF ABOVE
S% State Surcharge
3% Administrative Fee
TOTAL