HomeMy WebLinkAboutPermit Electrical 2000-04-07approval.
225 FIFTE STREEf, Zonins
SPRINGFIEI.D, OREGON
INSPECTION REQTIEST:
0FPICE: 726-3759
9 7t
I
DESCRI
Permi ts are ransferable and expirelf uork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACIOR INSTALI.,ATION ONLY
Electrical ContractorL.R. Brabham, Inc.
Address 68 l,lest "Q" Street
SpringfieId Phone 747 6939
The lollowing project as submitted has the tollowrng
zoning, and does not require specific land use
CT\L PERXIT APPLICATION
4*?-oo
-3769 . - I----ity Job Nunber 00-005at-O I
3. COHPIJTE PEE SCIIEDUIJ BELOII
Neu Residential-Single or
Suvno Se
lti-FamiIy per dvelling unit.
rvice Included:oo I tems Cos t
s 8s.00bill,-1000 sq.ft. or lessgach additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-Hodular 'DveIIing
Service or Feeder
$ 1s.00
TINGFIELl)
Services or FeedersInstallation, Alterations
or Relocation:
DATE:APR 07 2000
Ai'lT RE[D:? $ 8].60. IHAIJEE:
IASHiER:059
Sum
* 1*tt
s 40.00
Ci ty
Supe rvisor License Number 14735
Expiration Date 'l 01
Constr Contr. Number 08699)rllo
200 amps or less
201 amps to 4OO amps T401 amps to.600 amps _601 amps to 1000 amps_
0ver 1000 amps/volts
Reconnect OnIy
-Each installation
Pump or irrigation _
Sign/Ou tline Lighting_
Limi ted Energy/Res
Limi ted EnergY/Comm
oca t ion
0.00
s.00
0.00uBu a66E
r Panel
5.oo 35,ra
Circuit or vith Service
or Feeder Permit s 2.00
E. Hiscellaneous (Service/feeder not included)
o
B
S so.
S 60.
s 100.
s 130.
s300.s 40.
00
00
00
00
00
00
w rule-s
Expiration Date I
Signat of Supervising EIectr,ICran
Ovners Name *\4///+fu-rc
eddress 88 Z gT
Phone '/ /r/"- l? 74Ci ty
OVNER ALII\TION f-ruL
The installation is being made on
property I ovn uhich is not intended
for sale, lease or [ent.
Omers Signature:
DATE:
RECE
SUBTOTAL OF ABOVE
7 t?( State Surcharge
3Z Administrative Fee
TOTAL
s 40.00
s 40.00
s 20.00
s 36.00
RECEIVED
5 00
Services o
AI tera
amps
eo2-001 .00?0
Atvy
Y cbtain
,FTHE WORK
s
o .. ....:
I'I: