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HomeMy WebLinkAboutPermit Electrical 1998-5-5 ~ " - . :.:.~i... ~'. ~ :,.~;~~p.:..;..':"' ~~" :;; ~';:"';:::::.~.,7.~. :~,:...~.;:...s:;;~:.;~:. " ,,~..<.-..,.. "~f: : J'f" . Zoning ~ ~ D,~ql5 all ~O~" . 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 ~ d ~.-LL 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 35,(J[) I ,l'" /,(J.7 ':>.,T], ~D ",,'. ~.. , . ,.... ",.7' ',' '-,,:,,- ',.;