HomeMy WebLinkAboutPermit Electrical 1993-4-2
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225 FI1:WI'H STREET 0 to oWIng project as sLlbmit!ed h<Ei!h~l'de~L PERMIT APPLICATION
r I. zoning, and does not reqUire specific 1i:lIlCl use
SPRINGFIELD, OREGON 97477 approval a ~/'\ I c::::... ~
INSPECTION REQUEST: 726-3769 Zoning (! r!.- City Job Number ~ I U ~ '0" ~
OFFICE: 726-3759 I
Date_tl-2..tf3 3. COMPLETE FEE SCHEDULE BELOV
1. LOCAT;lON OF INSTALLATIONAuthorized SlgnatureJ.e#
rO I;>t; OJ n1n J J1.) _ A.'NewKes1"6en'flrt-Single or
.;la~ MQ.L("\ Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
.
AI\J~ DESCRIPy~ON n, r. f\
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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,
Address 68 West "Q" Street
Inc.
City Springfield Phone 747-6638
Supervisor License Number 1473S
Expiration Date 10/1/92
Constr Contr. Number 08699
c'
12/18/92 I,
Expiration Date
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
Items
Cost
Sum
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
$ 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
'"
Signature of Supervising Electrician
~'4 41~.._
Owners N~me 0Jt J 61 ~ /I
Address ~as t~ .sw-
City ~V~Jone 7Zb-31S3
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OVNER INSTALLATION
"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DAi;~---~~~~~~~-~--------------
RECEIPT #:,(r-J ~ - ,fl~ '(
RECEIVED Btr] 1L)GL/
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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
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
One Circuit $ 35.00
Each Additional
Circuit or with Servic~
or Feeder Permit ~ $ 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
/''Y
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