HomeMy WebLinkAboutPermit Electrical 1993-6-8
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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
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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
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