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Home My WebLink AboutPermit Electrical 1999-11-23 , '.. : :.t;r:;~. ,. , . . , . ~(o\eC\e:" '!' ~\0..\{lQ, 6005 {I ~~ ~ " o(\\(\~' \ .r ^;"\l\l'I~"~IC~O{l'9Il, fl'" ~'?.. ' , . " r\l '- . .", t'" I' ., 11\ 1 e:ir- '0\1 I'll ....\. '- 225 FIFTH STREET .fO~~?V::'U es.' '-~\\l\0,,,,, ~"EIXCTRIcAl. PERHlT APPLICATION SPRINGFIEW. OREGON 974T1;CO~\~, :\~~?~\~{I, Il' " \' I<':'\,':~ /la' INSPECTION REQUEST: n6l-37~9-{l~,: ,n"" ~ ,~"'_; ,llfCi.ty Job Number '7/ If, ()() DFFICE: 726-3759 0090. 'Iou ..a\ . ," '~_'_' t>'l l'let,ilono . , - caWnglheccn,,;'.\, ~L,3.: ~KPJ;.ETEI FEE SCHEDULE BELOV 1. LOCATION OF INSTAL4'f.l;OJllrlor~~~o~eg~\~ ;~'~"4l'l. 50() r~l1Elen flTltrnllL Wft'/;fll ~S_~~~~''>,A)' - New Residential-Single or , I khblleW!Jof) //ftI(ffd/{6 Kulti-Family per dyelling uni t, LEGAL DESCRIPTI~' 'Service Included: (7031100 65/0/ Items Cost Sum JOB D,&SCRIFTION I. J.. . 1000 sq. ft. or less J of) Wi~f~TV UtYYIINITT7A1G,11/rChIh-tEi!ch additional 500 [,A""'1 1\ .;l...,;uoA . sq. ft or portion I j..q11'1'ermits are non-transferable and expire thereof ~ if work is nDt started within 180 days Each Kanuf'd Home. or of issuance or if work is suspended for Kodular,'Dwelling' 180 days, Service or Feeder $ 85.00 $ 15.00 $ 40,00 2. CONTRACTOR INSTALLATION ONLY 'Electrical Contractor L.R. Brabham, Inc, .B, Services or Feeders Installation, Alterations or Relocation: Expiration Date Address 68 'West "Q" Street 200 amps or less ;Z $ 50,00 I tJ~. , , ,201 amps to 400 amps $ 60,00 City Sprlngfle1d Phone 747-6638 ' 401 amps to 600 amps $100,00 , " N~ W,iC: 601 amps to' 1000 amps $130.00 Supervisor License Number~ 1,~,.,l:?o"lT",u~LLEXPIA\!';FrH~9R!Qnps/volts $300.00 Expiration Date 10/01/0tAuTHOAIZED'UNDERTHIS'P1:'WtOO'Ts~o>r1Y $ ~O.OO 0869!pOMMENCEDOAISJ4l!JANiRltijiliiliOlY Services or Feeders, . Constr Contr. Number ,$'1OCE>,WflEF\IOD. Installation, Alteration or Relocation ,12/18/00' 200 amp~'oT less $ 40.00 201 amps to ~OO amps $ 55.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 voJ.ts see "B" above Si~at~e of Supervising Electrician cZ c/ ,/ A/!.' Owners Name.5hMe:Wt?t?O !J;.ck1}G/AlG D. Address 5tX> IIJ,fTl;K/JIfT/OA/d /J//fY City 5P1JD Phone 717,;.9t?tJD TOM CI1~fZ Branch Circuits " New, ,Alteration or Extension Per Panel OVNER INSTALLATION One Circuit Each Additional Circuit or vith Service/ or Feeder Permit ~ $ 35.00 $ 2.00 I;{.- Ovner~~~gnature: E. Miscellaneous (Serviceifeeder not included) -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36,00 1/7,- 5, SUBTOTAL OF ABOVE ~ 7M State Surcharge '(, X...f 3% Administrative Fee ~,~Jo TOTAL.._""C' -P-t~ '.1-. The installation is being made on property I oyn which is not intended for sale, lease or rent, .... . DATE~----171iJjT~~------ RECEIPT II:' ()'.;t. 2.(.. '1 RECEIVED BY: '