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HomeMy WebLinkAboutPermit Electrical 1995-8-7 &&/4V/.. &U..u vou~ HD ~D&lI " . ~ 5fro (lEV. 5ER. '.. -- GPAINCFIELo , II!IUU~ , 0 , I. ~ r 10> .f! zoning. And curlS not requiro ;;:_':.'.;1..:.: IEH'1;,~ approval, "225 FIFtH STREET 7.onino -~ ELECTRICAL PERHIT AP~LI nON SPRINGFIELD, OREGON 9141 . .' INSPECTION IlEQUE'ST: 72M.tj'69C(;,1-1;2 ,fM.. ./ City JobNWllber' , OFFICE: 726-3159 Authorized Signalur. 'nVv~ , /1 r::J I ~ q ~ ;I. wnn..r.1L"flE SCIlEDULE BELOV v~ 1. LOCATION OF INSTALLA.TION . :J{"Q3 -mana Ie .J.Jte I vt= LEGAL DIEJFtJ"8~fJJJ 0'7) oCJ1{J7) . ~ JOB DESCRIPTION _ j,j. I IJ/{;1!1l-/1< -S~rNltB v..masf nMraJatC' pU ~'~1f 1:n~~J~&({~'exPire if work is not started.'vithin 180 days of issuance or if,work is suspen~ed for 180 days. 2. CONTRAcrOR INSTALLATION ONLY ~0\g~ () Electrical Contractor L.R. Brabham, Inc. Address 68 Wes t "Q" Street City Spri nqfie1 d, Phone747-6638 14735 Supe~visor License Number Expiration Date 10/1/95 Constr Contr. Number 08699 X' Expiration Date 12/18/95 Si~~ sU:2si::?2an Oll~ N~ PA-VV\ VDU;Yl~ I J7'\,n', ,I Address~&1~ f'Mr4-tJtrK~L City ~fjJ#d, ('honel4-74-31S- OllNER INSTALLATION The installation is being made on property I olin which is not intended for sale, lease or rent. . OllOers Signature: DA~~;-----~/f:Cf~------~--~--------~- RECEIPI' 1I: 0 I ~lOl() - / ,u.._~C~IVFJ) BY: ,H 'tf11k( A. Nev Residential-Single or , Hillti-F~IIIt1y per dvellillg unit. Service Included: ' ' I tems Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd'Home or Hodular.OIlelling Service or Feeder B. Services or Feeders' Installation, Alterations or Relocation; 200 amps or less ( 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ~ .--... C. Temporary Services or f'eeders Installation, Alteration or Relocation 200 amrs 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 liB" aoove D. Branch Circuits Nell, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit $ 35.00 $ 2.00 E. Hiscellaneous (Service/feeder not included) -Each installation ' Pump or irrigation $ 40.00 Sign/Outline Lighting----- $ 40.00 - Limited Energy/Res ----- $ 20.00 Limited Energy/Comm ----- $ 36.00 5(J,oO / 5. SUBTOTAL OF ABOVE S% State Surcharge 3% Administrative Fee TOTAL 01,<0>0 , .......L S /J 5 ~ Ill')