Loading...
HomeMy WebLinkAboutPermit Electrical 1994-3-9 z . and does not require specific land use ~ . approval. , f\ In ~ 225 FIFTH STREET Zoning U) Iv ELECTRICAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477Ds1a."2.,AAY . w. q-dj'\ /1q'~ INSPECrION REQUEST. 726-]/fl~ City Job .N~ber 1] XY .z.- OFFICE: 726-3759 Authoriz<!d Signature !Jr. . 3. COHPLETE FEE SCHEDULE BELOV 1.I..~CA.}Imc;i/~STALLATION /- " ..... . ~^:J ':/ A. New Residential-Single or . .. r/ll.li?T!f176Ndt . Hulti-Famlly per dwelling unit. . I }rt)!i?J!!!:!5t~N ~ Service Included: Items Cost . - - '=c;'LR2ot 1-t> I!Jj~ $ 85.00 Ii .Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for '180 days. 2. . CONTRACTOR INSTALLATION ONLY . Electrical Contractor L.R. BRABHM~, INC. Address 68 W. "Q". 51 ., Cit~r 5PFLD Phone 747-6638. Supervisor License Number 14735 Expiration Date 10/1/95 Constr Contr. Number 08699 Expiration Date 12/18/94" " --. . ~-. '. "I Si~e of Supervising Electrician - ~(i A-4/-~ /' Owners Name ~~ ~ Addressr<JA~ . h r City~c1- - P 1{)b'\.1J~ ~STALLATION The installation. is being made on property I own which is not intended for sale, lease or rent. OWners Signature: DATE: ~~~Lj4('I~S- RECEIPT I: Ill"" '\ RECEIVED ~- JIX. AA ~ , 1000 sq. ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or . Modular Dwelling 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 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $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 ) Each Additional Circuit or with serVice; or Feeder Permit $ 35.0035,00 $ 2.00,;?,tfO E. Hiscellaneous (Service/feeder not included) -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00 $ 20.00 $ 36.00 37.tJ~ fillS ~,y<-, - /lItJ FEe /'ER/lJ/T 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL --