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HomeMy WebLinkAboutPermit Electrical 1992-9-25 t@ The' " . " 225 FIITH STREET zon"i~"o""~""1 pro}..... ELECTRICAL PERMIT APPLICATION () SPRINGFIELD, OREGON 97477"",o~~[n.. does ~~;~: ~~bmitt&d has ' f7 f'I I f\ ~ INSPECTION REQUEST: 726-3769 '~~ OBP.OiliCIB~');~~~t;lQJOb Number ~I 0 ('J. 0\ OFFICE: 726-3759 ZOI1/ifg, I~ e . , O"to~R0 ~OMPLETE FEE SCHEDULE BELOV 1. LOCATI~N OF INSTALWiIJlYed s' 3165 Ga tewa y 'Iln.I~(". -,1fj~~rI0 O~I (Y) JOB DESCRIPTION In~t~ll rkf tn w~,hin~ m~rh;nA, #2353 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 Contractotl.R. Brabham, Inc Address 68 West "0" Street City Sorindfie1d Phone 747-6638 Supervisor License Number 1473S Expiration Date 10/1/95 . Constr Contr. Number 08699 Expiration Date 12/18/92 Signature of Supervising Electrician K4L~~ Owners Name Eric Peterson Address3165 Gateway CitySpringfie1d Phone 741-3101 OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~A~i~-------Cf~-~~~~~---------- RECEIPT II: r' I (a. 'if r/ RECEIVED ny: <..~./)c;l_ > New Residential-Single or Iti-Family per dwelling unit. Serv c cluded: Items Sum Cost 1000 sq.ft. or less Each additional 500 'sq. ft or portion thereof Each Manuf'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 $ 50.00 20l amps to 400 amps $ 60.00 '401 amps to 600 amps $100.00 601 amps to 1000 amps $130,00 Over 1000 amps/volts $300.00 Reconnect Only $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation 200 amps or less $ 40.00 201 amps to 400 amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Ci-rcui t Each Additional Circuit or with Service or Feeder Permit $ 35.0035.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump ,or irrigation $ 40.00 Sign/Outline Lighting $ 40,00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 35.00 1. 75 36,7,5'