HomeMy WebLinkAboutPermit Electrical 1997-1-3
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11/18/94 15:46
'5'.50"W6 3689
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The, following project as submitted has thA fo/l(,\""Ir: t1 .
:~~!.n~~,~ and does not requiro SPecific land' u~PR"Nct:leLo
blat.
225 FIFTH STRE8T Authorized Slgnaturo
SFRINGFIELD, OREGON 97477
INSPECTION REQUE'ST: 726-3769
OFFICE: 726-3759
1. jJ)CArION OF INST~TION /, 'Au
.de;, Hlf-YfJe:# /.5/(/1)6--6 U/'l
_I 71ft J~Sf#~tflifR12-'
. ~ .JOB DESCRIPTION ..L ;;l '11
tJ/'J.-3 <::/E~vttE LLftjR/l-./J;; TV, ~
Permits are non-transferable and expire
if work 1$ not started'"within 180 days
of issuance or if. work is suspe~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
3. COMPLETE FIlE SCHEDULE BELOV
~002
A. New Residential-Single or .
Multi-Family per dwelling unit.
Service Included: .
Items Cost
Electri~al ContractotL.R. Bra bham. fnc.
68 W.est "Q" 5treet
Address
Ci ty 5 P r; n 9 fi e 1 d Phone 747.-6638
Supe~visor License Number
Expiration Date
Constr Contr. Number
14735
10/1 /91
08699
12/18/96
Expiration Pate
Si~t e of Supervising E;ec~r.:icc~i
L A--N
owners' me (~() ~e:1/ /r; ETCII-LF
Addresso?0 If-nvDbv I3R/{)Gl!: ttJiI-y
city5/J /-liJ I Phone 1% I (()~O
OI1NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
DA;;;~---T7~~~~i_~_41-~-=~--------~-
<\.6';..dl' 1I: ( ) Qi <'1...L "-
RECEIVED BY: ';E. ~A_
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd.Home or
Modular O'JelHng
Service or Feeder
B.
Services or Feeders.
Installa tion , Altera tions
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps-----
Over 1000 amps/volts
Reconnect Only -----
C.
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 Sf)~CJt)
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 100v VO!ts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" aoove
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation .
Pump or ir~igation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res -----. $ '20.00
Limited Energy/Comm _____ $ 36.00
'5tJ,OO
0(. 50
/ ( C;r)
&;'f () t5
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ :35.00
$ 2.00