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HomeMy WebLinkAboutPermit Electrical 2000-7-21 / The, fOllowing project as submitted has the following zonln9. and does nol require specific land use approval . Zoning /j(-j , '7 - 1/ -Of) 4;1.0 3, 225 FIFTP STREET SPRINGFIELD, OREGON 97477 Date INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 AuthorlZeo Signature 1. LOCATION OF INSTALLATIOl'l I, twv _ 'i 00 r N-rE-/'Ul IT T! tl /I t4 L IA./, J.!;GAL DESCRIPTION /703 /<::;L( 0 00 bo 0 ELECTRICAL PERMIT APPLICATION "BY 'Job NumberOO '-011 56 -0 I COHPLETE FEE SCUEDULE BELOV .A. New Residential-Single or Hulti-Family per dwelling unit, Service Included: -r. JOB D,F;SCRIPTION ' . LJ' 1000 sq, f t, or less .J-N5rlH{ Ct.-I( I!U1T 10 I3"tPUL,IJ, / 1/1 ,o/IV4-~ Each addi tional, 500 '~Ysq. ft or portlon Permits are non-transferable and expire ~ thereof if work is not started within 1BO days Each Hanuf'd Home. or of issuance or if work is suspended for Hodular'Dwelling IBO days, Service or Feeder JI4-/6 2, CONTRACTOR INSTALLATION ONLY Electrical ContractorL.R; Brabham, Inc. Address 68 West "Q" Street' Ci ty Springfield Phone 747-6638 Supervisor License Number 1473S~ Expiration Date 10/01/01 08699 Constr Contr. Number Expiration Date 12/18/00 .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 Items Cost Sum $ 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 200 amps' 'OT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 Si~~e of Supervising Electrician (' t" ...; fi ~ f /1 D Branch Circui ts Owners Na'me.5'hO/fe:vJOO!J rlfek/fG(/J~ ' Address 500 I'1/IT7!:J< I7~T,..j)/I/1{ uJlJ-f One Circuit City Bpi//) 17'177 Phone 717-9t700 Each Additional . t..A-rr -r: IJA_ Circui t or wi th Service OVNER INSTALLATION {!t/)1,/rot, /Om~~r Feeder Permit The installation is being made on prop~rty I owr. which is not intended for sale, lease or rent. Owners Signature: ------~--------~--~------------------ DATE: 0721/00 . RECEIPT I: Zbtf 7..- RECEIVED DY: J-,{5; volts $ 40,00 $ 55,00 $ 80,00 see liB" above' New, Alteration or Extension Per Panel 5, SUBTOTAL OF ABOVE 711% State Surcharge 3% Administrative Fee TOTAL / 35, --- $ 35,00 $ 2.00 E, Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm