HomeMy WebLinkAboutPermit Electrical 1998-5-5
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Authorized SIgnalureBr.f\ ' .~r 't.~~i;li . ' "
225 FIFTH STREET ...\Q1\Ct... LlJ>,\..\..'i;.l\-1'" <o~:~CAL FERtUT APPLICATION
Sl'RINGFIELD, OREGON 97477 \' ~WI\\ Sf' \~\S \'''- O~ q O' DIe- ./ 0
INSPECIION REQUEST: 726-3769~~\S\'€ 'Co\.l~O'C~ ~OO~~ Job NUlllber ^ ~
OFFICE: 726-3759 _ ')J\~O~it OQ. \S J>,~p.: . .
p.: 'C~c'CO 3. e>HPLETE FEE SCHEDULE BELOV
1. LQCATIJlN OF INSTALLATION COWlWi :-< ?'C~\O .
J?S4/) 8Jtr€'WIIJ . .rt'':!, ,el)~P\ . A. New Residential-Single or
, ( tffrTCW""f.'I/VtY') Hulti-Family per dwelling unit.
~ 1rtl!J!1'?-ooo t/r){),' Service Included:
JOB DE.sCRIP'IIO~ L . ^ . / I 1000 sq. ft. or less
TNSTItJL (lL.i'e(lf.,{.L/! Folf '-lJ/5171t1/f511~ . Each additional 500
tg44lpermits 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 Contractor loR; Brabham,
Address 68 :West "Q" Street
Inc. .
City Springfield Phone 747-6638
Supervisor License Number
14735
Expiration Date 10/01/98
Constr Contr~ Number 08699'
Expiration Date
12/l8/9~
Signature of Supervising Electrician
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Owners N~ \ tJ1/lS(JvW 'l- Soo IUl f::/ N\
, 1
Address :,54b G1tn:\AiiW
Ci ty 6''PtLD. Pho~e '7 J.ft" J J.l ^
01lNER INSTALLATION.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~s~gnature:
"
". .
DATE: ------~~{<:tq- ,
RECEIPT .: tJ )J-lIA r y
RECEIVED BY: <~ < /4;? j 1,1 ----
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular, 'Dwelling'
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 Circuit / $ 35.00 .35: tfD
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin,
Limited Energy/Res
Limited Energy/Comm
E.
$ 40.00
.' $ 40.00
:'$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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