HomeMy WebLinkAboutPermit Electrical 1996-11-6
11/18/111
a:cu
U503 728 3880
.' .
.... "
c;;.- ""':
spf'li [lEV,
~
SER.
.
llJ 002
1f''lfolk)wing projoct as f.iuommeu I~ II I
zoning, and does not roqulre specific ItlOd
approval,
'225 ~~'AD STRE8r
Sl'lUNGFIBUJ, OlUlGON 97477
INSPECTION REQUEST: 726-37c69.
OFFICE: 726-3759
ZonillO
Authorized Signature
-.;..
1. LOCjTIO~pJF INST~'I'ION
_,.J tj (p It/AI ~ ' , .,A.
.. ',,(, flA1!JE ~ON I AI
}~''fYl t::."{)ey) .
..k lA -- JOB ,DESCRIPTION / jJ A '
~'b r' rr.J.~fII$h "f/N~TJ'!IL Wn- 5al.Vlt!IS fp
!JUAn/) 7t1f770Al. I,
/Permi(s a~e non-transf~rable and expire
if work is not started'within 180 days
of issuance or if. work is suspe~ed for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical ContractotL.R. Brabham,
68 West "Q" Street
Address
City Springfield Phone 747-6638
SU'per.visor License Number .2473 S
Expiration Date 10/1/97
08699
12/18/96
I nc.
Constr Contr. Number
Expiration Date
Si~. e of Supervising ~lectrician
- .j -< d3..:J1-. D
Owners Nt:: (!, 1111 or Wqe:iV~ W/lSreW/f-reK...
/1 /7 A..~ . ..bIVIS (ON
Add ress 7/0 lei time. mr::-,
ChY~~N6 Q7'1Pi...Phone Cf8tj... g6~ I '
OllNER INSTALLATION Ur/LJly PaJe1CSE:N
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
DA;~;-----li-fi;-1~-----~~-------~-
RECEIPT I: . . 'I )./....-ri .-l... U
RECEIVED By: i.J""I, m{i.-f
. ,- ~ ,"
- ..,...,......--::,...,...,__._. '--0-
I':LECTRICAL PERHIT APPLICATION
City Job'NUllIber q [p J S I L
\,UlIn.:ur;' ""....SCHEDULE BELOV *
New Residential-Single or ~
Hulti-Family per dwelling Unit.
Service Included I ' .
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Kanuf'd.Home or
Hodula~ Dwellin,
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
/
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
stJ r "0
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 100v VO.lts see "B" above
lIranch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional -----
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation .
Pump or i~riiation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res ----- $ 20.00
Limited Energy/Comm $ 36.00
--.,
.5() ,tJO
.->1,5U
'-::ti1~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL