HomeMy WebLinkAboutPermit Electrical 1992-04-16a ,a aC'TY
JOB DESCRTPTION
2 cjrcu'ibto new poker machines (LRB #.l963)
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
PBRHIT APPLICATION
City Job Number
FEE SCEEDULE BELOS
Single or
Multl-Family per dvelling unit.
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.oo
$ 1s.00
$ 40.00
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 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteratlon or Extension Per Panel
st'rtrNGFtELD
One Circuit
Each Additional
Circuit or vith Serv
or Feeder Permit
STIBTOTAL OP ABOVB
5Z State Surcharge
TOTAT
i]';,;y,xllss,fil Qtu
225 FIFTE SIREEE
SPRINGFTELD, oREGoN 97477
INSPBCf,ION RBQUEST: 726-3769
OFFICE: 726-3759 I
1 LOCATION OT INSTALI,ATION
Auhoriz.ed Slgnaturo
I []75 Mohawk gl vd . (Vi I I aqe I nn ) A. Nev Res
Sum
2. COI{TRACf,OR INSTALI.ATION ONLY
Erectrical contractol'R' Brabham, Inc'
Address 68 West "Q" Street
Ci ty Springfield phone 747-6638
Supe rvisor License Number
.l4735
Expiration Date 1o/1/e2
constr contr. Number 8699
Expiration Date 12/18/e2
Signa ture of Supervising Eleetrieian
0vners Name Village Inn
Address lB75 Mohawk Blvd.
Ci ty Spri ngf i e'l d phone 7 47 -9833
OTINER INSTALLATION
The installatlon is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
RECEIPT
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see I'Brr above
B
C
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
E. Miscellaneous (Service/feeder not included)
T"S 2.oo 2'oo
37 .00
I .63
-Each installation
Pump or irrigation S
Sign/0utline Lighting_ $
Limited Energy/Res _ $
Limited Energy/Comm S
40.00
40.00
20.00
36.00
5
RECEIVED BY:
TB. 85
I $ 3s. oo 3l-.99-