HomeMy WebLinkAboutPermit Electrical 1994-5-2
. r . lIowing project as submitted has the followi ~
. zonmg, and does not require specific Isnd u<>n _ ng . ..,,~
225 FIFTH STREET approval. EuCTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L ~ . (""":\ \ \ --,......" t '~
INSPECTION REQUEST: 726-~769 5-"2.-"1'" City Job Number '--\ ,,\,- )'0\
OFFICE: 726-3759 0 to . .
Authorized Signature JJ . W_' COHPLETE FEE SCHEDULE BELOV ~
1. r LOCATION OF INSTALLATION .
21717 trJlI-IN A. New Residential-Single or .
V'. /LL Hulti-Family per dwelling unit.
\. AJlG.Ak DE~fTION ('((CCI{;//!J1 U{.,~ Service Included: .
. I I( )~~ \ (")"::<., \ CO Items Cost Sum
I') ~QIh DESCRIPTION I. ....
ri.OQJJ ~~lfltG' r;I2i1JVGG"
- it;1
Permits are non-transferable and expire'fOhl
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRAcrOR INSTALLATION ONLY
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
. Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
. Electrical Contractor L.R. BRABHN4, INC.
B. Services or Feeders
Installation, Alterations or
Relocation:
Address 6B W. "QII ST.,
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
City SPFlD
Phone 747-6638.
Supervisor License Number 1473S
Expiration Date 10/1/95
Constr Contr. Number 08699
I
$ 50.00 5~/)O
$ 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
Expiration Date 12/18/94~
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Owners ~ At'Jh 1-I-()ILNdlLlL
Address 12,0 , 57/7 m /flft)
City ;5 f)fLtJ Phone I ' 503, 15J' 76o~
f .
D. Branch Circuits
New, Alteration or Extension Per Panel .
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Add it i ona I
Circuit or.with Service
or Feeder Permit
OVNER INSTALLATION
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: - ~-:x\~. 1
RECEIPT 1:._ \'~ )
~\ RECEIVED 1111 ~~
------------ 5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$.35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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