HomeMy WebLinkAboutPermit Electrical 2000-07-24225 FIFTE SIT,EET
SPRTNGFTELD, oREGoN 97477
INSPECTION REQUESTt 726-3769
OFPICE: 726-3759
I ON F TION
TFlINGFIELt,
EI,ECTRICAL PERI{IT APPLICATION
COHPI,ETE PEE SCIIEDT'I.E BELOII
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
I tems
Ci ty Job N.nber FC\\48 O\
3
A
Cos t
s 8s.00
s 1s.00
$ 40.00
Sum
a.
hi|t"l Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days
2. COI{TRACTOR INSTALI.,ATION ONLT
Electrical Contractor L.R. Bfabham, Inc.
Address 68 l.lest "Q" Street
Ci ty Spri ngfi el d Phone 7 47 -6638
Supe rvi-sor License Number 14735
Expiration Date
Constr Contr. Number 08699
Expiration Da te 12/18/00
ture f Supervising Blectrician
0vners Name
eddress I
cit Ph 1?L- t71
D. Branch Circuits
Nev, Alteration or Extension Per Panel
one circuit I s 35.00 35 -
Each Addi tionalCircuit or vith Serviceor Feeder Permit _ $ 2.00
Hiscellaneous (Service/feeder not included)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-Hodular 'Dvelling
Service or Feeder
Services or FeedersInstalIation, Alterations
or Relocation:
SUtsTOTAL OF ABOVE
7 tZ State Surcharge
32 Admini.strative Fee
TOTAL
200 amps or less
201 amps to 400 amps
401 amps to.600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect OnIy
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps
-
S 55.00
over 4b1 to 600 amps
-
S B0.oo
Over 600 amps or 1000ETTS see uB" aEfrE
-Each installation
Pump or irrigation
sigir/Ou tl ine- Ligh t ing-
Liml ted Energy/Res
Limi ted Energy/Comm
B
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
c
€5
1
OVNER INSTALI.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
i-.rft. \l-ITl !i1IJr'5UU'tl-fil-lfiUri
:jgl.tHHX Omers Signature:
iiE'i]t S i: [3]H ll.lu
000r ti
rqgi000-
(*ru)
E
s 40.00
s 40.00
s 20.00
s 36.00
RBCEIVED DY:
5
1o/ ot/01
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