HomeMy WebLinkAboutPermit Electrical 1992-09-30OFEGOI',CITY OF SPF,,VG
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225 FIFTE STBEEI
SPRINGTIELD, OREGoN 97 477
INSPBCTION RBQTIBST:
OFBICE: 726-3759
tI1.
726-376e q Ctty Job Number
APPLICATION
$ 1s.00
$ 40.00
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
JOB
P arE non-trans ferable and relf vork ls not started vlthln 180 days
of lssuance or lf vork ts suspended for
180 days.
2. COI|TRASTOR INSTAU,ATION ONIY
ElectrlcaL contractor L . R. Bra bham,
Address 68 West "Q" Street
ci Springfield phone 747-6638
Sup ervisor Llcense Ndmber 14735
Exp iration Date 10/1/95
Constr Contr. Number 08699
Slgnature of Supervlslng Electrlcian
[hw5enre[e
3 COHPTBTE TEE SCBEDUTE BELOS
lal-Slngle or
Hultl-Fanlly per dvelllng unlt.
Servlce Included:Items Cost
1000 sq.ft. or less
Each addlttonal 500
sg. ft or portlon
thereof
Each l{anuf 'd Home or
l,lodular Dvelllng
Servlce or Feeder
$ g5.oo
A.
5l
B.
Inc.
Sum
Servlces or Peeders
Installatlon, Alterations or
Relocation:
200 amps or Less -L201 amps to 400 amps
-401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0n1y
200 amps or less
201 amps to 400 amps _
Over 401 to 500 amps _
Over 600 amps or 1000 voltr
50,a
.00
.00
.oot,B, a561F
C. Temporary Servlces or Feeders
Installatlon, Alteratlon or Relocation
$40
$ss
$80
X
s see
Address ba4 Sdut/, 3itt,Nev, Alteratlon or Extension Per Panel
Phone 14lr' 4Uo8
One Cl.rcui t $ 3s.00
Ovners
Ct ty
OIINER INSTATI.ATION
The lnstallatlon is belng made on
property I ovn whlch ls not intended
for sale, lease or rent.
Owners Slgnature:
DATE:
RECBIPT
D. Branch Circuits
Each Additional
Circuit or with Service
or Feeder Permit | $2.OO a,a0
E. Miscellaneous (Service/feeder not lncluded)
-Each installation
Pump or irrigation $
Sign/Outl.ine Light ing._.- $
Limited Energy/Res _ $
Limited Energy/Comm S
40.00
40.00
20.00
36.00
5 SIIBTOTAL OP ABOVB
5f State Surcharge
TOTAL
RECEIVED BY
5a ac
OP
Expiration P31g I 2/18/9,4