HomeMy WebLinkAboutPermit Signage 1992-9-15
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'" the lollo,,;n\; ~
ibmitted has d ~o ..-
225 FIITH STREET __ _. ',Iow">r.g pro)eot a~ s~ire spedlic Ian lIo ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97,i7.i7,~, and does not r q
INSPECTION REQUEST: 12~.;:3769 t.~ ~
OFFICE: 726-3759 Zon,n8~
"lie:; \<0_ 3. COHPLET~EE SCHEDULE BELOV
1. LOCATION OF INSTALEATION~ ~___
4217 MAIN" STREET..,:Ollleo Signetllfe_ A. New Residential-Single or .
Multi-Family per dwelling unit.
Service Included:
SI',,'NCr-IELD
City Job Number
LEGAL DESCRIPTION
)., ()-;J 2,:> 2,:l
01000
JOB DESCRIPTION
Relocate sign panel
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
.Modular Dwelling
Service or Feeder
(#2327)
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 B. .Services or Feeders
Installation, Alterations or
Electrical ContractorL.R: Brabham, Inc.. Relocation:
Address 68-West "Q" Street
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 Spr.i r)gfd e 1 d
Phone 747-6638
Supervisor License Number 1473S
Expiration Date 10/1/95
Constr Contr. Number 08699
C1:dI:::2S(c...
Items
*
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
1
$ 50.00 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 12/18/92
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Signature of
~./f
/' P . p.
Owners Name rlnceton roperty Management
Supervising Electrician
/f 6~/:_
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
Address 4850 SW Scholls Ferry.Rd, Suite 203
Cit?Ortland, OR 97225Phone 206-694-7700
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit 5
OVNER INSTALLATION
$ 35.00
$ 2. 00 ~. 0 . 00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation. is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: CiI,,, Ic,"l.
RECEIPT II: (,,1'19-
RECEIVED BY: 190.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
60.00
3.00
03.00