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HomeMy WebLinkAboutPermit Electrical 1990-10-31 Coo. .~'J~i;;;""{:ii/~.' 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION SW Corner of II I II Street and Mohawk I d--I~ G CS+ LEGAL DESCRIPTION JOB DESCRIPTION Install 20A service from nearest street lite pOle. to GFl recep:and two flag pole lites. 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 ContractorL.R. Brabham, Inc. Address 68 Wes t "Q" Street City Springfield, OR Phone 97477 Supervisor License Number 1473S Expiration Date 10/1/92 Constr Contr. Numbe~ 20-87C Expiration Date 10/1/91 Signature of Supervising Electrician ~ L AJL O~ INSTALLATION Name Address City Phone The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: DATE: tt?4fCT?~ /<<39.e> RECEIPT #: 1~7~ /- . RECEIVED BY: ~~~ ?;:> ELECTRICAL PERMIT APPLICATION City Job Number 7~/'}f7~ 3. COMPLETE FEE SCHEDULE BELaY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: Items Cost Sum 1500 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd ~ome or Modular Dwelling Service or Feeder $ 85.00 $ 15.00 $ 35.00 B. Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $ 35.00 35.00 $ 60.00 $ 80.00 $130.00 $300.00 $ 35.00 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 '$ 35.00 $ 40.00 $ 80.00 see "B" above D. Branch Circuits New, Alteration or Extension Per Panel '. One Circuit Two to ten Circuits Each Addt'l ten or portion thereof $ 35.00 $ 50.00 $ 15.00 E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 36.00 Sign/Outline Lighting $ 36.00 Signal Circuit or limited energy panel $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL 35.00 1. 75 36.75