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" "
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Si~e of Supervising Electrician
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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
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