HomeMy WebLinkAboutPermit Electrical 1997-09-26CITY OF SPF oru.
OFPICE: 726-3759
I COHPLSTE P8E SCEEDI'LE BELOY.'
Neu Resldenttal-SlngIe orltulti-Pamlly per av-Illng unit.Service fncluded:
JOFTGTD
EI..ECTRICAL PERNT APPIJCATION
Ctty Job Nuuber
Items
3P
,'ea as submnot reguire'sg
225 TIFTE SI3EET
SPRTNGFI
INSPECTI
BLD, oREGoN
ON REQIIEST:
9
INSTALI.AUON
A
B.
Cos t
$ 85,00
$ 1s.00
s 40.00
Sum
JOB DESCRI v 54Vrc6
Prrmits a"re ngn-trarisferabie anci exif rork is not started vithln 1g0 dof issuance or if.vork is suspen?ed
180 days.
2. CONTRACTOR INSTAILTTION ONLY
Electrical Contractor L.R. Brabham, Inc.
1000 sq. f t. or less
Each additlonal 500se. ft or portion
thereof
Each Manuf ,d llone or
-Hodular Dvelllng
Servlce or Feeder _
Services or Feedersfnstallatlon, Alterationsor Relocation:
p re
ays
for
Address 68 West "Q" Street
ci Springfield phone
Ttre insta]Iation is being made onproperty I ovn vhich is not lntendedfor sale, lease or rent.I
Ovners Signature:
DATE:
RECE
200 amrps or less $ s0.
201 amps to 400 amps s 60.
401 amps to 600 anps sr00.
601 ampsr 1000
to 1000Sugervisor License Nurnber
Expiration Date
Conitr Contr. Number Y
Expiration Da te :_ 12118/-97
Signat of Supervising Elect r cian
Ovners Name
Address fua*
Ci ry €/uE 7l'lo( pnrnri (3 Je{3
OYNER INSTAI,LATION
SHALL amDslti
-
s300.
s130.
W,,
00
00
00
00
00
00
amps/vo
Only
TjYls
I $ qo.
ces or Feeders
Alteration or Relocation
.00
.00
.00
see rtB, affi
A
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amps - -over 600 amps or 1000-i6Es
Branch Circu! ts
s40sss
S80
D
E
Nev, Alteration or Extension per panel
One Circuit S 35.00
Each AdditlonalClrcuit or vlth Servlceor Feeder Pernlt ---._ S 2.O0
Hiscellaneous (Service/feeder not included)
-Each installatlon
Pump or Irrlgatlon
Slgn/Out1lne Ltghtlng-
Llot ted Ener6;y/Rcs
-Ll nl ted Energy/Corno
-
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OP ABOYE
Sf, State Surcharge
3Z Adalnlstratlvc Fee
TOTAL
y'o,oo
;. 00
/,40RECETVEDt
.)\
00
ila