HomeMy WebLinkAboutPermit Electrical 1991-03-14tlt,ls t99t
SPTINGFIELO
One Clrcuit
Tvo to ten Circuits
Each Addtrl ten orportion thereof
ELECf,RICAL PERTTT APPLICATION
City Job Nuuber
Permits are-non-transferable and expirelf vork is not started vfthin igO daysof issuance or if vork is. su"p"niea fo.180 days.
2. CO}TIRACf,OR INSTALI.ATION ONLI
Electrical Contractor L.R. Brabham, Inc.
IJGAL DESCRIPTTON
I\4a i ntenance sho p
JOB DESCRTPTIONInstall ckt. to gate
Address 68 trlest "Q" Street
ci Spri ng field,phone 747-6638
Supervlsor License Number I 4735
Expiration Date 10/1 /92
Constr Contr. 11ump.l0-B7C
Explration Date 10/1/91
Signature of SuperviSlng Blectrlclan
Ovners
Address
Ci ty of Spri ngfiel d
225 N. 5th
Ci ty Spri ngfi e1 d Phone 7 26-3763
COI{PI.ErB PEE SCEEDT'I.E BELOS
Nev Resldential-Slngle orIluItl-FarnlIy per avltltng unit.Servlee fncluded:
ftems Cost Sum
1500 sq.ft. or Less S B5-OOEach addltional 500 Y eJ' '
-sq. ft or portion
thereof
Each Hanufrd Home or
-
$ 15'00
Hodular DveIIing
servlce or Feeder $ 35.00
Servlces or Feeders (10 Branch Circuitsine_Iuded). rnstallation, -eii"l"liir"
or.Relocation:
100 amps or less
101 anps to 400 amps
-401 amps to G00 "rp" -601 amps to looo aips-Over 1000 anps/volts
Reeonneet Only
225 FTYTII SII'EET
SPRINGPTBLD, 0REGON 97477
INSPBCTTON REOUES?: 126_3169oPPICE: 726-3759
1.. LOCATION OF INSTALIATION
201 South l8th
OgNER INSTALIATTON
The installation is belng made onproperty I ovn vhlch ls not lntendedfor sale, Iease or rent.
Ovners Signature:
3.
A
B
s
$
s
ST
S3oo
s3s
00
00
00
00
00
00
35
60
90
30
C. Temporary Servlces or Feeders' Installation, Alteratlon or ielocation
200 amps or less S 35.00201 amps to 400 a,nps ] i ao.OoOver 401 to.600 a,ops ] I 8O.OOOver 600 amps or tbOOE'IIs ]"" ,,gu aEoE
D. Branch Circuits
Nev, :glteratlon or Extenslon per panel
I $ 3s.oo
._ s 50.00
s 1s.00
limited energy panel s 36.00
5. ST'BTOTAL OP ABOVE 35 .005f State Surcharge
TOTAL
E. Hisce}laneous (Service/feedir not included)-Each lnstallatlon
lyrp.or irrigation S 36.00stgn/Outline Ltghttns- I :o.OOSignal Circuit or :
35 .00
DATE:
.15- 36.75
SHOULD BE NO FEE CHARGED
SINCE I^IORK IS BEING DONE FOR THE CITY
ctwtr
RECEIvBD
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