HomeMy WebLinkAboutPermit Electrical 1995-2-6
&1.'1.0'.. " 1.0:1"
'Uon 7%U :lUU
'IIPf!) llEV. SER.
"'1'1
'l!IUUI
~
."j,...'. .
..
.
. .
. . .
The fo, OWIn .
zoning, Bnd doel) not require s.pectflc land
approval.
. C. c...
'225 U.. ~t:i. STREeT Zon;na
SFRINGFIELD, OREGON 97477
INSPECTION MQUE'ST: 726-31760::> ~ (Q .-15
OFFICE: 726-3759. Authorized SIgnature
ELECTRICAL PERHIT Al'l'LICATION
LJ AJ Ci ty Job' N1.UlIber 9~! :is
i.- C~HPLETE FEE SCHEDULE IlELaV *
. . .
A. Nev Residential-Single or .
tlillti-Fllmlly per dvelling unit.
Service Included I .' .
Items Cost SUm
1. LOCATION OF INSTALLATION
C).~C;J A1/1//lI 57lft::.e. I
LEGAL DESCRIPTION
..L7~-~.,.. ~ ;z..... ~ 3/~l'::>
,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereot
Each Hanuf'd'Uome or
Modular Dvelling
Service or Feeder
$ 85.00
,
I
Permits are non-transf~rable and expire
if york is not started'vithln 180 days
of issuance or if.vork is suspe~ed for
100 days.
$ 15.00
$ 40.00
2. CONTRAcrOR INSTALLATION ONl,.Y B.
Electrical Contrllctor L.R. Brabham, Inc.
Address 68 Wes t "Q" Street
Services or Feeders'
Installation, Alterations
or Relocation;
200 amps or less I
201 amps to 400 amps -----
401 amps to 600 amps
601 amps to 1000 amps-----
Over 1000 amps/volts
Reconnect Only
t: ~()(2.
<:I'. ,
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City 5prinQfie1d,
Phone 747-6638
14735
Supe~visor License Number
Expiretion Date 10/1/96
Constr Contr. Number 08699
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Pate 12/18/96
Si~a~e of Supervising ::~iwn
~ ~,.., A. A'
Ovners N'" './ft5C/Q ~6houlV
Address/},qi:;.., Sw Wll/lkW;; /)1(.
City 716/f~/), tJf!. J:hor{S03)5J,<!-,7:igS
q1~3
Ol1NER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
(or sale, lease or rent.
.
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u VOlts see "B" above
Branch Circuits
D.
Nev, Alteration or Extension Per Panel
. .
One Circuit
Each Addi lional
Circuit or vith Service
or Feeder Permit
$'35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation .
Pump or irrigation
Sign/Outline Lighting-----
Limi ted Energy/Res -
Limited Energy/Comm -----
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5tJ, (70
d, CjO
i. c;n
Cj 1./-, on
Ovners Signature:
'5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
DAT;;---~~~~---------~----------
~..lf'I I: "'?~?~'5-
RECEIVED BY: ~ ~
." , /",/ .
. '. .' ." . ".. -
.e....___..__._...n. .....,..