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HomeMy WebLinkAboutPermit Electrical 2000-05-26oot 86, 225 FIETE STREEf, SPRINGFIEI.D, OREGON 97 477 INSPECTION REQIEST. 726-3769 0FPICE: 726-3759 s are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days 2. COI{TRACf,OR INSTALI,ATION ONLY Electrical ContractorL.R. Brabham, Inc. Address 68 l,lest "Q" Street Ci ty Spri ngfi el d Phone 7 47 -6638 Supe rvi-sor License Number I4735 Expiration Date 10/01101 Constr Contr. Number 08699 Expiration Date 12/18/00 Signa re of Supervising Electrician Ppnct lrn Lze : NGFIELC, BI.,ECTRICAL PERHIT APPLICATION Ci ty Job Nunber Qre a ''ab't{'}l,o3frY'^LI-qtgI o of Residential-Single or PI.ETE FEE SCTIEDI'I^E BELOS Hulti-FamiIy per dvelling unit. Service Included: I tems tI Cos t s 8s.00 s 1s.00 $ 40.00 s s0.00 s 60.00 s100.00 s130.00 s300.00 $ 40.00 Sum k nlI 1000 sq.ft. or less Each additicnal 500 sq. ft or portion thereof Each Hanuf'd Home. or -Hodular 'DveIling SerVice or Feeder Services or FeedersInstaIlation, Alterationsor Relocation: B c D. 200 amps or less 201 amps to 400 amps -401 amps to. 600 amps 601 amps to 1000 amps 0ver 1000 amps/volts -Reconnect OnIy Temporary Services or Feeders Installation, Alteration or Relocation 200 amps"or less $ 201 amps to 400 amps - S 0ver 401 to 600 amps - $ 0ver 600 amps or 1000ETTs s Branch Circui ts 40.00 55.00 80.00 0vners Add ress ci me ee *Brr aEfrE Js,;AoS N, 3tb Ph ,*Srfz-st t t *r. rt 74b,gqq Nev, Alteration or Extension Per Panel onecircuit I S35.Oo/7 Each Additional -Circuit or vith Serviceor Feeder Permit S 2.00 )z OVNER INSTALINTION The installation is being made on property I ovn r.rhilh is not intended for sale, Iease or rent. Tnn . uf Tui:,Lln :ifiNilili U#lders signa ture : 0E'Bt $ i:0xlH ll,lu r'ti']nr gi I utd i -l I iff]e 4IJ3LSSJ-- 0t6T000j&rd.NuU1 E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Light Limited Energy/Res rng_ Limited Energy/Comm 5. SUBTOTAL OF AEOVE 7 tZ State Surcharge 32 Administrative Fee TOTAL s 40.00 s 40.00 $ 20.00 s 36.00 J5, RECEIVED DY] o \i sfiifillcFtELD a*, City of Springfir -1 Voucher Report lD: SPRA103 L. R. Brabham,lnc. 68 West'Q'St. Springfield,OR 97477 Description Account Fund O1q SubGlass Refund for canceled proj 215004 821 426102 100 426605 100 Comments: Refund of 80% of job number 00-00826-01 $28.00 Electrical refund $1.96 State Surcharge refund $.84 admin refund Ok'd per Kaye z.b( 3 J Voucher lD : Handling Code; 00020738 RE Vendor Number: Voucher Date : !nvoice # : Approver: Operator: Gross Amount: Proi/Grant Aug 21, 2000 8-21-2000 Puent,David wtLS5940 30.80 Amount 1.96 28.00 0.84 BY 2001 2001 2001 iPI+iNGF'IELD {eport lD : SPRA103 Voucher lD : Handling Gode : 00019976 RE City of Springfiet - Voucher L. R. Brabham, lnc. 68 West'Q'St. Springfield, OR 97477 Description electrical refund Comments: 80% electrical refund per Lisa Job # 00-00826-01 $35./$2.45/$1 .6s 2t l,S'3-e'5t' Account Fund 9g Subclass Vendor Number : Voucher Date : lnvoice # : Approver: Operator: Gross Amount : BY Proi/Grant 0000000240 Aug 02, 2000 8-2-2000 Puent,David wlLS5940 31.28 Amount 215004 426102 426605 821 100 100 2001 2001 2001 1.96 28.00 1.32