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HomeMy WebLinkAboutPermit Electrical 1993-6-8 T' -'n"', ~".~~ -'"~c,_:;,'r' _'J",r:._, ',,::! ~ 225 FIFTH STREET " ,.,.,~"I,.ll..',_lll,:,..:A:,,",;;) ,";. --. ~.~ :, '-'ELECTRICAL P'ERHIT APPLICATION SPRINGFIELD, OREGON 97477 ~~.' ~ p L 0 rf~\J;:"~"'l ~ INSPECTION REQUEST: 726,-3769 "-'-;"i~ --,.-' -.--.- .. Ci ty Job Number ""-"10 ~ OFFICE: 726-3759 rJ-I")____~_v!. J1 1 V'^') . COMPLETE FEE SCHEDULE BELO\l 1~ t.,LPC!(l'ION OF INS~LLA~IQ~~';;:Cjr?lbU~GA^J _ -- .J,fJ'O~' 'Sa. 011 Do~nOCk\ otr ITliY<.Pft{)A. /(G;f/kltY.. ~it/?1jJ .5/;4I7t1AJ Rd I \ l)Gn~~J!lPTaN ~ _ Cl ~ 500 ~ 6C\) ~rnClcJ, .-. JQ~ p'~SCRIn;ION L k 1000 sq.ft. or less ]./1/5 mU /tJtJlI Se:l<NieC f1J 5f /TT7tJAJ\ Each additional 500 ~3D~~ sq. ft or portion Permits are non-transferable and expire ,thereof if york is not started within 180 days Each Manuf'd Home or of issuance or if work is suspended for Modular Dwelling 180 days. Service or Feeder 2. CONTRACfOR INSTALLATION ONLY Electrical Contractor L.R. BRABHAM, INC. Address 68 W. IIQII 5T., ~ em:::. City 5PFLD Phone 747-6638 ---_./ Supervisor License Number /1735 /0/11CJ5"--___ _. Expiration Date Constr Contr. Number 08699 Expiration Date 10/18/93 ~ Signature of Supervising Electrician ~ /A~~ / /7 --- .~ Owners Name G/Tl/ tJF t:..tlC,ENC UJ,a/T:i-; Address LlI() Ift~EIe !/-veNtLC City CU6EIJC Phone 0%7r.5;;;'3& O\lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. -........~ Owners Signature: --------------------~--~- - ------- DATE. /J <.0 'rJ1 4 ~ RECEiPT I: .~J/t- 1 p~~~') RECEIVED Bl.. / .......... - - ~~ I ) ~ - New Residential-Single or Multi-Family per dwelling unit. Service Included: Items 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 Cost Sum $ 85.00 $ 15.00 $ 40.00 / 5tJ, aJ $ 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 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 40.00 $ 40.00 $ 20.00 $ 36.00 SrJ, fX) ;J,,5[) _~~,5()