HomeMy WebLinkAboutPermit Electrical 1992-5-29
SI"UNGFUZ.LD
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225 FIFTH STREET ......P folib"Jh,~ ~IO'J,.. . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ",a"dd,..-,}:e~~...sUbr.1llto,~hMth~ ~I_., . f7f1l\/ oC::::-
INSPECTION REQUEST: 726-3769 ;'va/. t"~' re,JUir. D~cilic lar~~!l'\'Job Number 1lJ()l 00 '--...J
OFFICE: 726-3759 "'0-" ' .
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~ .~~ COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIONe~. '''/b'- >>
5727 ~lain 'Street - Pi,z,zaorCOOf;'nM'... New Residential-Single or . .
McKenzie Crossing Shopping Center ti-Family per dwelling unit. ,r"
kE~QE:;<}U;PTI~ A Service n 'luded: ·
I1r l~~~\ ()\.~ \ rY) Items Cost' Sum
JOB DESCRIPTION
Wire tenant improvement
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
~000~ B.
Electrical ContractorL.R. BRABHAM, INC.
2. . CONTRACTOR INSTALLATION ONLY
Address 68 West. "Q" Street
City Spri ngfie1 d
Phone 747-6638
Supervisor License Number 1473S
Expiration Date 10/1/92
Constr Contr. Number 08699
Expiration Date 12/18/92
K
Signature of Supervising Electrician
Y:;t ~ b./.I..
Owners Name Dough, Re, Mi, Inc.
Address 2074 Amirante Street
Ci ty Eugene 97402 Phone 688-8564
OIINER INSTALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~_._.
DATE: ---:,-, ~Lf'V~1qj-----
RECEIPT #: ~! ~
RECEIVED BY: () ,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
.Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less 1
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, AI~eration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or.1000
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
New, Al tera t ion or Extension Per Panel'
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permi t aO
$ 35.00
$ 2. 00 20. 00 I
E. Miscellaneous (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. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
70.00
3.50
73.50