HomeMy WebLinkAboutPermit Electrical 2001-02-15---'TtNGFtELO
225 FIFTE STREET
SPRINGFIEI.D, OREGON
INSPECf,ION REQIIEST:
0FPICE: 726-3759
The following proiect as submitted has the following -
zonrng and does not require specilic land use
approval
Zoning
Date
97 47
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INST ON
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ot started vithin 180 daYs
CAL PERHIT APPLICATION
ty Job Nunber - OOt3 -o
3. COHPLETE FEE SCTIEDTILE BELOV
A
)
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-Hodular'DveIIing
SerVice or Feeder
$ 8s.00
s 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less -L-201 amps to 400 amps
401 amps to.600 amps
--601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect Only
LEGAL DESCRTPTION
| 7 03 7S3a Sum
t naY i;.
JOB
s are
vork is n
I
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALI.ATION ONLY
Electrical Contractor L.R. Brabham, Inc.
Address 68 Hest "Q" Street
Springfield Phone 7 47'6638Ci ty
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00supervisor License Number .l4735
Expiration Date 1 0/01/0r
constr contr. Number 08699
Expiration Date 12/18/02
Signat o[ Supervising Electrician
D nRl?€U 5 hdc
C
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one Circuit S 35.00
Each Addi tionalCircuit or vith Service
or Feeder Permit $ 2.OO
E. Hiscellaneous (Service/feeder not included)
Temporary Services or Feeders
Insta1lation, Alteration or Relocation
200 amps"or le-ss $ 40.00
201 amis to 4oo amps
-
S 55.00
over 4b1 to 6oo ambs
-
$ 8o.oo
0ver 600 amps or 1()OO voT[s see rrBrl a6i1iiil
-Each ins tallation
Pump or irrigation
Sign/0u tline Lighting_
Limi ted EnergY/Res
Limited EnergY/Comm
0vners N
Add ress
e
sr
-
:r:rA)-:=trf#
s 40.00
s 40.00
s 20.,00
s 36,00
8a5 ENTfl
cit Phone 0
OVNER INSTALIJ\TION
The installation is being made on
property I ovn uhich is not intended
for sale, Iease or rent.
Omers Signature:
DATE:
SUBTOTAL OF ABOVE
7 tZ State Surcharge
3Z Administrative Fee
TOTi\L
5
RECEIVED
OZ t ()
13 c)cE.{)FTFJ
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