HomeMy WebLinkAboutPermit Electrical 2000-10-02225 FIFTE STREET apProval
SPRINGFIELD, OREGON 97477 Zonins
INSPECTION REQUEST: 7
OFPICE: 726-3759
I
Ci ty SprW
The lollowing proiect as submitted has the following
zoning and-does not require specilic land use
cu
26-3
Date
BI,ECI",ICAL PERHIT APPLICATION
ty Job NunberOo O lt'{1 Z*O \
FEE SCIIEDI'IJ BELOV
-4. Neu Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
I tems
FITNGFIELO
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
-Hodular 'DveIIing
SerVice or Feeder
Services or FeedersInstallation, Alterations
or Relocation:
769 t0 )-
ON
Authorized Signature
ALI,ATION
IJGAL DESCRIPTION
ta 03 7bo OO So<>
Permi ts a non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days
2. CONTRACTOR INSTALI.,ATION ONLY
Electrical ContractorL.R. Brabham, Inc.
Address 68 I'lest 'rQ" Street
ci ty Spri ngfi el d Phone 7 47 -6638
Supe rvisor License Number I4735
Expiration Date 'ro/ouor
constr contr. Number 08699
Expiration Date 12/tBt00
Signatu e of Supervising Electrician
0vners 'p
Address Ae 5
Cos t
$ 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
s130.00
s300.00s 40.00
e'B'a 60vn
Sum
h 1wi
,
bl
B
D.
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
C. Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $
201 amps to 400 amps I $
over 401 to 600 amps
-
$
Over 600 amps or 1000-6Tfs se
Branch Circuits
Nev, Alteration or Extension Per Panel
onecircuit / s35.oo 5{
Each AdditionalCircuit or vith Service
40.00
55.00
80.00
Phone e6-7
Tf,T
OVNER INSTALT/\TION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
0mers Signature:
r Feeder Permit $ 2.00
Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _ S
sigir/outline Lighting- S
l,imi ted Energy/Res I- S
Limited Energy/Comm $
--{
:r)
L'f
00
00
ffi
*
40.
4ffi
2C
DATE:OO Z-o>
SUBTOTAL OF ABOVE
7 tZ State Surcharge
32 Admini.strative Fee
TOTAL
tl
RECEMD DY: ,DlS
5