HomeMy WebLinkAboutPermit Electrical 1991-06-27i'Ht>.ur ,l_,--
c-t
225 FTYTr STREET
sPRrNGPrEt D, oR.ECoN 97477
INSPECIION REQIEST: 726_3769
OFFICE: 726-3759
1.. LOCATION OP INSTALI-ATION
29 NORTH 5TH
Address 68 West "Q" Street
city SPringfield Phone 747-6638
Supervisor License Number
.l4735
Expiratlon Daie 10ll /e2
Constr Contr. Number 8699
Explration Date
COHPIJTE PEE SCIIEDUIJ BELOV
Nev Resldential-Slngle orHultl-FamtIy per avelttng unlt.Service Included:
ELtrCTRICAL PERHTT APPLICATION
Clty Job Nuober 4 t oL1 v
I tems Cos t
s 85.00
3
A
Sum
Permits are non-transferable and explreif vork is not starred vithin igO a"v"of issuance or if vork l, .rrp"nJed for180 days.
2. CO}ITRACTOR INSTAII.ATION ONI,Y
Electrical Contractor L.R. Brabham, Inc.
Servlces or peeders (10 Branch Circuitslncluded). rnstallation, aii"i"iio",or.Relocation:
Re
.JOB, DESCRIPTION,ir damage cauaed by auto hjtting power 1500 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Hanuf,d Home or
-Hodular DveIling
Servlce or Feeder
One Clrcul t
Tvo to ten Circuits
Each AddtrI ten orportlon thereof
limited energy panel
SI,BTOTAL OP ABOVB5f Stite Surcharge
TOTAL
s 1s.00
s 3s.00
s 3s.00
s 60.00
$ 90.00
s130.00
s300.00
s 35.00
35 .00
B
c
D
E
100 amps or less I101 amps to 400 amps
-401 amps to 600 arps
-601 amps ro 1000 amos-Over 1000 amps/volt;
-
Reconnect OnIy
of Supervislng Electrlclan
James Ap pel
2029 l{orth sth
Temporary Servlces or FeedersInstallatlon, Alteratlon or Relocatlon
201 anps to 400 amps
-
S 4o.ooOver 401 to.600 amps _ $ 8O.OO0ver 600 amps or rbooT6'Iis i""-;i; aFvI-
Branch Circults
Nev, Alteratlon or Extenslon per panel
I 2/18/9l
0vners
Address
cit field Phone 7 47 -6713 $ 3s.00
s.50.00
s 15.00
OUNER INSTALI.ATTON
The installation ls belng made onproperty I ovn vhlch ls not lntendedfor sale, Iease or rent.
Ovners Signature:
Hiscellaneous (Servlce/feeder not tncluded)-Each lnstallatlon
lyrp.9" _irrlgatton S 36.00
5
s 36.00
35 .00DATE:
l
RECEIVED B
r iltt]tl
t.75-