HomeMy WebLinkAboutPermit Electrical 1992-11-9 (2)
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225 FIFTH. STREET apr;rO\;aL, /' \ . ELECTRICAL PERMIT APPLICATION .
SPRINGFIElD, OREGON 97477 Zonint1 K I. . nf) 5/)'IJ..
~~~~~~IO;2~~~;T: 726-3~~~_ \-[ '-1'"' CZ":) City Job Number \./1 {.~ ;.AD
" Authorized SignatUf96f 3. mHELETl1 PEB-SCBEDULE BELOV
"1. LOC~,!,ION OF INSTA,LLATION
3600 UJrYJmfif<c'Lf+L A. New Residential-Single or .
~~ GolJ C6lJlhf 1kt)/)t.le'l5& Multi-Family per dwelling unit.
. G D,ES ON 7V"'-V rv--\ 'Service Included:
( LAO.J ) Items Cost
- \..- .
,JOB, DESCIp:PTION . 1000 sq. ft. or less
IA/5tn-tL I./(/()!f r-.!XOO# FtEEfJex ft.- tf€tJJllfe. Each additional 500
~{jhf(){5 //1/ .sOIfrme-. .JI:.;{'f3h sq. ft or portion
Permits are non-transferable and expire thereof
if work is not .started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for HodularDwelling
'180 days. Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
2. . CONTRACTOR INSTALLATION ONLY B. ,Services or Feede.rs
Installation, Alterations or
Electrical Contractor L . R. Bra b ham tIne. Relocation:
Address 68 West lIQII' Street
City Springfield
Phone 747-6638
Supervisor License Number 1473S.
Expiration Date 10/1/95
Constr Contr. Number 08699
Expiration Date 12/l8/9~
I
Signature of Supervising Electrician
'. ~~~
Owners Name J(Jh n i!tfJakE'"
Address ;;q f[)O C/fmfJ W !?tJ,
Ci ty.5 p/-lrJ , Phone 7L/6' 7~~ cj.
x
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~~----------~(7)~~71~<1'~----
RECEIPT #: J.J ' ~...,
RECEIVED BY l/, jUtA) - . c,,-,'.
~
200 amps or less /
201 amps to 400 amps I
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
.Reconnect Only
$ 50.00 5d,OO
$ 60.00 (dJ, Q:)
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcui t / $ 35.00 35()O
Each Additional
Circuit or with Service tJ tJO
or Feeder Permit d $ 2.00
.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ ~O.OO
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 11q.OQ
5% State Surcharge 7.45
TOTAL ( e; C:, . 4-tS