HomeMy WebLinkAboutPermit Electrical 2000-7-21
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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