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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-